Timothy M Young M D Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A85891 Issued in CA

Legal business name

TIMOTHY M YOUNG M D INC

Practice address

9190 Haven Ave
Suite 240
Rancho Cucamonga, CA 91730-5431

Phone

(909) 484-8661

Fax

(949) 588-2199

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy M Young, M.D.

Title

President

Phone

(949) 588-2190

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1316963192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLAND",
            "address_2": "SUITE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182566",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9190 HAVEN AVE",
            "address_2": "SUITE 240",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305431",
            "telephone_number": "909-484-8661",
            "fax_number": "949-588-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M YOUNG M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-588-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A85891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A858910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Ticas
• Andrea S. Tieng, M.D.
• Edwin Tillman
• Mia Tillman, RBT
• Denise Alexa Tim
• Shaquita Timothy
• Mitch Ting
• Kaulelei Tinielu
• Nyein Tint, M.D.
• Destiny Tiese Tittle

• Anesthesiology Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.