Organization Active NPI

John K. Young, D.O., Inc.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1356469159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204969 Issued in CA
Legal business name
JOHN K. YOUNG, D.O., INC.
Practice address
1230 E Carson St
Long Beach, CA 90807-3031
Phone
(562) 424-7723
Fax
(562) 427-4999
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John K Young, D.O.
Title
Practice Owner
Phone
(562) 424-7723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 204969 CA Primary

Addresses

Primary practice location

1230 E Carson St
Long Beach, CA 90807-3031

Mailing address

1230 E Carson St
Long Beach, CA 90807-3031
Phone (562) 424-7723

National Provider Directory

National Provider Directory

Locations

1230 E Carson St
Long Beach, CA 90807
Phone (562) 424-7723

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356469159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E CARSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073031",
            "telephone_number": "562-424-7723",
            "fax_number": "562-427-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E CARSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073031",
            "telephone_number": "562-424-7723",
            "fax_number": "562-427-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K. YOUNG, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "562-424-7723",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "204969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.