Roselynn G Young, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2197 Issued in CA

Practice address

1411 Secret Ravine Pkwy Ste 120
Roseville, CA 95661-6042

Phone

(916) 780-4200

Fax

(916) 780-4201

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Roseville Diagnostic Hearing Center, Inc.

  • Audiologist
  • Roseville, CA
  • NPI 1912429259
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154421147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SECRET RAVINE PARKWAY",
            "address_2": "SUITE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-780-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SECRET RAVINE PKWY STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616042",
            "telephone_number": "916-780-4200",
            "fax_number": "916-780-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROSELYNN",
        "middle_name": "G",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0021970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Young, LAC
• David Tyler Young
• John Cole Young, LCSW
• Melissa Young
• Rei Jackson Young, D.O.
• Mitchel J Youngblood, MD
• Marian Youssif, MA, AMFT, APCC
• Youssry Joe Y Kelada, MD
• Anthony Yu
• Benjamin Pochang Yu, MD

• Audiologist in Roseville, CA
• Providers in Roseville, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.