Juventia Lay Youn, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95001533 Issued in CA

Practice address

11003 Lakewood Blvd
Suite 201
Downey, CA 90241-3876

Phone

(562) 869-1038

NPI assigned

Apr 21, 2015

Last updated

Sep 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Juventia Lay Other name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1417344037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MONTELLANO AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 LAKEWOOD BLVD",
            "address_2": "SUITE 201",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413876",
            "telephone_number": "562-869-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUN",
        "first_name": "JUVENTIA",
        "middle_name": "LAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUVENTIA",
            "last_name": "LAY",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiffany Chiyeko Yonemoto, CTRS
• Daeun Yoo
• Rachel Noelle York, PT, DPT
• Michael Yoshinaga, PT, DPT, MS, OCS
• Paul H Yoshino, M.D.
• Ronald Young-Soares, RPH
• Charles Joseph Young, DDS
• Michelle Young
• Sarah Kay Young, SLP
• Timothy R Young

• Family Nurse Practitioner in Downey, CA
• Providers in Downey, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.