Individual provider Active NPI

Christopher Young, CRNA

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1295131373
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA95000455 Issued in CA
Practice address
2823 Fresno & R St.
Fresno, CA 93721-1365
Phone
(559) 459-6000
Fax
(559) 498-8182
NPI assigned
Nov 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN95081554 CA
Certified Registered Nurse Anesthetist 367500000X 5994 CT
Certified Registered Nurse Anesthetist 367500000X 96553 CT
Certified Registered Nurse Anesthetist 367500000X NA95000455 CA Primary

Addresses

Primary practice location

2823 Fresno & R St.
Fresno, CA 93721-1365

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160309002825 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153643549 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

7300 N Fresno St
Fresno, CA 93720-2941
Phone (559) 448-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
5994CTMDDental Hygienist
RN95081554CAMDRegistered Nurse
NA95000455CAMDCertified Registered Nurse Anesthetist
96553CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Sep 1, 2018 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Dec 30, 2020 Accepting new patients
Central California Anesthesiology Solutions Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2022 Accepting new patients
Permanente Medical Group Inc CurrentSince Dec 30, 2020 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Omni Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2017 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4500 Morning Dr
Ste 102
Bakersfield, CA 93306
Phone (661) 437-4140

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

7417 N Cedar Ave
Ste 101
Fresno, CA 93720
Phone (559) 437-5645

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

445 S Cedar Ave
Fresno, CA 93702
Phone (559) 459-4000

7417 N Cedar Ave
Fresno, CA 93720
Phone 5594360871111

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1295131373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO & R ST.",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211365",
            "telephone_number": "559-459-6000",
            "fax_number": "559-498-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95081554",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "5994",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "96553",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95000455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7300 N Fresno St",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937202941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.