Active NPI
Kirstin Young, M.D.
- Physical Medicine & Rehabilitation Physician
- Los Altos, CA
National Provider Identifier
1144306291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A64222
- Practice address
- 851 Fremont Ave
Suite 109
Los Altos, CA 94024-5698 - Phone
- (650) 941-1040
- Fax
- (650) 941-1001
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A64222 | CA | Primary |
Addresses
Primary practice location
851 Fremont Ave
Suite 109
Los Altos, CA 94024-5698
Mailing address
852 Fremont Ave.
Suite 109
Los Altos, CA 94024
Phone (650) 941-1040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A64222 | CA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1144306291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "852 FREMONT AVE.",
"address_2": "SUITE 109",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "94024",
"telephone_number": "650-941-1040",
"fax_number": "650-941-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 FREMONT AVE",
"address_2": "SUITE 109",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245698",
"telephone_number": "650-941-1040",
"fax_number": "650-941-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KIRSTIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A64222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.