Foothill Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FOOTHILL MEDICAL CLINIC INC

Practice address

10011 N Foothill Blvd
Suite #105
Cupertino, CA 95014-5649

Phone

(408) 366-0600

Fax

(408) 366-0609

NPI assigned

Dec 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gabriel Jang-Jyh YoungNPI 1811084114

Title

M.D.

Phone

(408) 366-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel Jang-Jyh Young, M.D.

  • Internal Medicine Physician
  • Cupertino, CA
  • NPI 1811084114
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1417345323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 N FOOTHILL BLVD",
            "address_2": "SUITE #105",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145649",
            "telephone_number": "408-366-0600",
            "fax_number": "408-366-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 N FOOTHILL BLVD",
            "address_2": "SUITE #105",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145649",
            "telephone_number": "408-366-0600",
            "fax_number": "408-366-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "JANG-JYH",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "408-366-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore A. Floor, D.D.S.
• Flynn TCM Center
• Wendy Heather Foad, RN
• Kin Fok
• Michelle Marie Fontana, RN
• Foothill-de Anza Community College District
• Olga Fotin, MA, LMHC, LPCC
• Lisa Marie-Mone Fourkas, PT, DPT, CPA (INACTI
• Neleigh Fowler, DPT
• Kenneth Frangadakis, DDS

• Internal Medicine Physician in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.