Individual provider Active NPI

Lynna R. Young, FNP-C

  • Family Nurse Practitioner
  • Yucca Valley, CA
National Provider Identifier
1295730984
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP10058 Issued in CA
Practice address
55585 29 Palms Hwy
Yucca Valley, CA 92284-2505
Phone
(760) 228-3366
Fax
(760) 228-3369
NPI assigned
Jun 17, 2005
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP10058 CA Primary

Addresses

Primary practice location

55585 29 Palms Hwy
Yucca Valley, CA 92284-2505

Mailing address

2325 E Joyce Dr
Palm Springs, CA 92262-2462
Phone (760) 416-0504

Other identifiers 2

IdentifierTypeStateIssuer
10058OtherCALICENSE, FNP-C
431345OtherCALICENSE, RN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226000490 CA Practitioner - Nurse Practitioner 4486540333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Valley Health CenterGroup PAC ID 8628965852, 11 clinicians

Practice addresses (Care Compare)

50 Branscomb Rd
Laytonville, CA 95454-9744
Phone (707) 984-6131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP10058CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Mar 12, 2019 Accepting new patients
Long Valley Health Center CurrentSince Sep 26, 2023 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Mar 12, 2019 Accepting new patients
James S Manion, MD, Inc Past Accepting new patients

Locations

50 Branscomb Rd
Laytonville, CA 95454
Phone (707) 984-6131

4874 Polk Ave
San Diego, CA 92105
Phone (619) 515-2426

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AECBBA
  • Direct secure messaging: lynna.young.p1@direct.cdsdp.nextgenshare.com
  • Direct secure messaging: lynna.young.p2@direct.hvvmg.nextgenshare.com

Organizations & group practices 4

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 1

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1295730984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 E JOYCE DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622462",
            "telephone_number": "760-416-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55585 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842505",
            "telephone_number": "760-228-3366",
            "fax_number": "760-228-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LYNNA",
        "middle_name": "R.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP10058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE, FNP-C",
            "identifier": "10058",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE, RN",
            "identifier": "431345",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.