Individual provider Active NPI

Peter Youn, M.D.

  • Specialist
  • Los Gatos, CA
National Provider Identifier
1285669762
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
BY5169075 Issued in CA
Practice address
15195 National Ave Ste 206
Los Gatos, CA 95032-2631
Phone
(408) 884-8077
Fax
(408) 827-4017
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X BY5169075 CA Primary

Addresses

Primary practice location

15195 National Ave Ste 206
Los Gatos, CA 95032-2631

Mailing address

15195 National Ave Ste 206
Los Gatos, CA 95032-2631
Phone (408) 884-8077

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000807 CA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 2668664871 Reassigns benefits to 1 organization
Practice locations: Los Gatos, CA

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Perelman School of Med at the University of Pennsylvania, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15195 National Ave
Suite 206
Los Gatos, CA 95032-2631
Phone (408) 884-8077

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BY5169075CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Youn MD Inc CurrentSince Sep 1, 2019 Accepting new patients
El Camino Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients

Locations

15195 National Ave
Ste 206
Los Gatos, CA 95032
Phone (408) 358-1234

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1285669762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15195 NATIONAL AVE STE 206",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322631",
            "telephone_number": "408-884-8077",
            "fax_number": "408-827-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 NATIONAL AVE STE 206",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322631",
            "telephone_number": "408-884-8077",
            "fax_number": "408-827-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUN",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "BY5169075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.