Randolph S Young, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

033420 Issued in CA

Practice address

17300 Yorba Linda Blvd Ste J
Yorba Linda, CA 92886-3810

Phone

(714) 961-0907

Fax

(714) 961-8925

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275682346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 YORBA LINDA BLVD STE J",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863810",
            "telephone_number": "714-961-0907",
            "fax_number": "714-961-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 YORBA LINDA BLVD STE J",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863810",
            "telephone_number": "714-961-0907",
            "fax_number": "714-961-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "RANDOLPH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "033420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yorba Linda Physical Therapy Inc (Yorba Linda Physical Therapy)
• Yorba Linda Senior Care Inc.
• Yorba Linda Vision Center Optometric Corporation (Yorba Linda Vision Center)
• Dominique Younes
• Khemarint Sourn Young, M.D.
• Cecille Suzette Yu, RN
• Jay Yu, L.AC.
• Shawn Yu
• Anna Yun, PHARMD
• Jody Zeng

• Oral and Maxillofacial Surgery (Dentist) in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.