Individual provider Active NPI

Douglas Young, MD

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1346340296
Registry record updated Aug 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G76193 Issued in CA
Practice address
3840 Watt Ave
Building E
Sacramento, CA 95821-2640
Phone
(916) 488-6200
Fax
(916) 488-6300
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G76193 CA Primary

Addresses

Primary practice location

3840 Watt Ave
Building E
Sacramento, CA 95821-2640

Mailing address

3840 Watt Ave
Building E
Sacramento, CA 95821-2640
Phone (916) 488-6200

Other identifiers 4

IdentifierTypeStateIssuer
1346340296OtherCAINDIVIDUAL NPI
1881762953OtherCAGROUP NPI
BB784ZOtherCAPTAN
ZZZ21878ZOtherGROUP PTAN

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
I20040318001495 CA Practitioner - Internal Medicine 8325938673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3840 Watt Ave
BLDG E
Sacramento, CA 95821-2640
Phone (916) 488-6200

Hospital & facility affiliations

  • Amari Home Health Care, Inc. Home health agency, Carmichael, CA, CCN 559586
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Young, M.D.,Inc. Internal Medicine CurrentSince Sep 1, 2008 Accepting new patients
Lowest Cost Cremation and Burial Inc. Internal Medicine CurrentSince Jul 13, 2022 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

3840 Watt Ave
Bldg E
Sacramento, CA 95821
Phone (916) 488-6200

Interoperability endpoints

  • Direct secure messaging: dyoung210211@hisp.ehr.sutterhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344643200000",
    "number": "1346340296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 WATT AVE",
            "address_2": "BUILDING E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212640",
            "telephone_number": "916-488-6200",
            "fax_number": "916-488-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 WATT AVE",
            "address_2": "BUILDING E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212640",
            "telephone_number": "916-488-6200",
            "fax_number": "916-488-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G76193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1346340296",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1881762953",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BB784Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ZZZ21878Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.