Individual provider Active NPI

Rolando C Young, MD

  • Neurology Physician
  • Bakersfield, CA
National Provider Identifier
1275512675
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C41288 Issued in CA
Practice address
1705 28TH St
Bakersfield, CA 93301-1902
Phone
(661) 322-4080
Fax
(661) 322-5507
NPI assigned
Jan 13, 2006
Last updated
Apr 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X C41288 CA Primary

Addresses

Primary practice location

1705 28TH St
Bakersfield, CA 93301-1902

Mailing address

1705 28TH St
Bakersfield, CA 93301-1902
Phone (661) 322-4080

Other identifiers 1

IdentifierTypeStateIssuer
00C412880MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101029000072 CA Practitioner - Neurology 9436343985 Reassigns benefits to 2 organizations
I20190520001402 GA Practitioner - Neurology 9436343985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

436 W Colorado St
Suite 210C
Glendale, CA 91204-4596
Phone (866) 227-3310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C41288CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Regional Physicians Management Group, LLC CurrentSince Mar 12, 2019 Accepting new patients
Care Connect Medical Group CurrentSince Nov 1, 2017 Accepting new patients
Kern County Neurological Medical Group, Inc Neurology CurrentSince Jan 1, 2000 Accepting new patients

Locations

1705 28th St
Bakersfield, CA 93301
Phone (661) 322-3008

1711 28th St
Ste B
Bakersfield, CA 93301
Phone (661) 322-3008

436 W Colorado St
Ste 210C
Glendale, CA 91204
Phone (866) 227-3310

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1275512675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 28TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011902",
            "telephone_number": "661-322-4080",
            "fax_number": "661-322-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 28TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011902",
            "telephone_number": "661-322-4080",
            "fax_number": "661-322-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROLANDO",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C41288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C412880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.