Individual provider Active NPI

Casper Charles Young, D.O.

  • Anesthesiology Physician
  • Encino, CA
National Provider Identifier
1124298906
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A9358 Issued in CA
Practice address
5400 Balboa Blvd Ste 111
Encino, CA 91316-5206
Phone
(818) 784-8975
NPI assigned
Mar 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A9358 CA Primary

Addresses

Primary practice location

5400 Balboa Blvd Ste 111
Encino, CA 91316-5206

Mailing address

20750 Ventura Blvd Ste 210
Woodland Hills, CA 91364-6235
Phone (310) 477-8051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081126000421 CA Practitioner - Anesthesiology 8729148341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brotman Medical Anesthesia GroupGroup PAC ID 8123027547, 9 clinicians

Practice addresses (Care Compare)

8641 Wilshire Blvd
Suite 201
Beverly Hills, CA 90211-2920
Phone (310) 289-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9358CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brotman Medical Anesthesia Group Anesthesiology CurrentSince Jun 11, 2014 Accepting new patients
Southern Los Angeles County Anesthesia Medical Group Incorporated Anesthesiology Past Accepting new patients

Locations

8641 Wilshire Blvd
Ste 201
Beverly Hills, CA 90211
Phone (310) 289-8600

5400 Balboa Blvd
Ste 111
Encino, CA 91316
Phone (818) 784-3125

1180 N Indian Canyon Dr
Ste W110
Palm Springs, CA 92262
Phone (760) 416-4600

20750 Ventura Blvd
Ste 210
Woodland Hls, CA 91364
Phone 8188007815100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1124298906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20750 VENTURA BLVD STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646235",
            "telephone_number": "310-477-8051",
            "fax_number": "310-843-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 111",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165206",
            "telephone_number": "818-784-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CASPER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A9358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.