Active NPI
Lynna R. Young, FNP-C
- Family Nurse Practitioner
- Yucca Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP10058
- 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, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10058 | Other | CA | LICENSE, FNP-C |
| 431345 | Other | CA | LICENSE, 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP10058 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Long Valley Health Center | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | 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
- https://fhir4.healow.com/fhir/r4/AECBBA
- lynna.young.p1@direct.cdsdp.nextgenshare.com
- 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.
-
- Clinic/Center
- Laytonville, CA
- NPI 1366467375
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
dba Eisenhower Immediate Care Center
- Urgent Care Clinic/Center
- Cathedral City, CA
- NPI 1649204595
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Howard Memorial
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.