Individual provider Active NPI

Krista Braun-Young, MD

  • Pediatrics Physician
  • Mission Viejo, CA
National Provider Identifier
1306913298
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A75336 Issued in CA
Practice address
26161 La Paz Rd Ste 115
Mission Viejo, CA 92691-5334
Phone
(949) 206-0001
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A75336 CA Primary

Addresses

Primary practice location

26161 La Paz Rd Ste 115
Mission Viejo, CA 92691-5334

Mailing address

26161 La Paz Rd Ste 115
Mission Viejo, CA 92691-5334
Phone (949) 206-0001

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
I20110614000029 CA Practitioner - Pediatric Medicine 3274710504 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75336CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Pediatrics CurrentSince Apr 18, 2016 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Apr 18, 2016 Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

12710 Carmel Country Rd
San Diego, CA 92130
Phone (858) 499-2708

10243 Genetic Center Dr
San Diego, CA 92121
Phone (858) 499-2704

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

Interoperability endpoints

  • Direct secure messaging: kbraunyoung19629@scrippshlth.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1306913298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26161 LA PAZ RD STE 115",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915334",
            "telephone_number": "949-206-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26161 LA PAZ RD STE 115",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915334",
            "telephone_number": "949-206-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN-YOUNG",
        "first_name": "KRISTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A75336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.