Medical Youth Foundation Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MEDICAL YOUTH FOUNDATION INC

Practice address

400 N Pepper Ave
Colton, CA 92324-1801

Phone

(909) 580-3353

Fax

(909) 580-1363

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

Farabi Hussain, MD

Title

MD

Phone

(909) 580-3353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1295204535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10694 MAGNOLIA AVE UNIT B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051816",
            "telephone_number": "424-440-7364",
            "fax_number": "951-977-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-3353",
            "fax_number": "909-580-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL YOUTH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "FARABI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "909-580-3353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances McIntyre, D.O., M.P.H.
• Michelle McKay
• Ellena M. McKennon, CNM
• Kaylynn R McMann
• Meadows Ridge Care Center LLC
• Kristy Medina, B.A.
• Freddie Barron Medrano
• Scott Alan Meeker, MD
• Hootan Farhang Mehr, MD
• Rastina Mehrani, MD

• Surgery Physician in Colton, CA
• Providers in Colton, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.