Polly T Young, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G28119 Issued in CA

Practice address

3100 Telegraph Ave
#2109 East Bay Family Practice Medical Group Inc
Oakland, CA 94609-3210

Phone

(510) 645-9900

Fax

(510) 645-9919

NPI assigned

Aug 19, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Bay Family Practice Medical Group Inc

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1154313237
  NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245222744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE",
            "address_2": "#2109 EAST BAY FAMILY PRACTICE MEDICAL GROUP INC",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093210",
            "telephone_number": "510-645-9900",
            "fax_number": "510-645-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE",
            "address_2": "#2109 EAST BAY FAMILY PRACTICE MEDICAL GROUP INC",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093210",
            "telephone_number": "510-645-9900",
            "fax_number": "510-645-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "POLLY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G28119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ODG281190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Young, MA
• Miranda Young
• Miu Wan Young
• Nancy Shoup Young
• Ona Margot Sullivan Young, MHA
• Roxxanne Aliah Young
• Samania Young
• Scott S Young, M.D.
• Steven R Young, BCO BOARD CERTIFIED
• Susan A Young, OT

• Family Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.