Active NPI
Kathleen Marie Youngs, RPAC
- Surgical Physician Assistant
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 21492
- Practice address
- 7910 Frost St
Suite 100
San Diego, CA 92123-2771 - Phone
- (858) 634-5900
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 010814-1 | NY | |
| Surgical Physician Assistant | 363AS0400X | 21492 | CA | Primary |
Addresses
Primary practice location
7910 Frost St
Suite 100
San Diego, CA 92123-2771
Mailing address
7910 Frost St
Suite 100
San Diego, CA 92123-2771
Phone (858) 634-5900
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 482-3639
7910 Frost St
Suite 100
San Diego, CA 92123-2776
Phone (858) 634-5900
Hospital & facility affiliations
- Sharp Chula Vista Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21492 | CA | MD | Chiropractor |
| 010814-1 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego Diagnostic Radiology Medical Group, Inc. | Current | Accepting new patients | |
| San Diego Diagonstic Radiology Medical Group, Inc. | Current | Accepting new patients | |
| San Diego Imaging, LLC | Current | Accepting new patients | |
| San Diego Diagnostic Radiology Medical Group, Inc. | Current | Accepting new patients |
Locations
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600
7910 Frost St
Ste 100
San Diego, CA 92123
Phone (858) 634-5900
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Coronado, CA
- NPI 1417988221
-
- Radiology Clinic/Center
- San Diego, CA
- NPI 1043378136
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1629156583
-
- Diagnostic Radiology Physician
- Chula Vista, CA
- NPI 1225069883
-
- Clinic/Center
- San Diego, CA
- NPI 1780312371
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1225101082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7910 FROST ST",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232771",
"telephone_number": "858-634-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 FROST ST",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232771",
"telephone_number": "858-634-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGS",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "RPAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "010814-1",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "21492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.