Active NPI
David Eugene Young, M.D.
- Hematology & Oncology Physician
- Rancho Mirage, CA
National Provider Identifier
1427069350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G43609
- Practice address
- 34490 Bob Hope Dr.
Rancho Mirage, CA 92270-0000 - Phone
- (760) 568-3613
- Fax
- (760) 340-5189
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G43609 | CA | Primary |
Addresses
Primary practice location
34490 Bob Hope Dr.
Rancho Mirage, CA 92270-0000
Mailing address
34490 Bob Hope Dr.
Rancho Mirage, CA 92270-0000
Phone (760) 568-3613
Other practice location 1
39800 Bob Hope Dr
Ste C
Rancho Mirage, CA 92270-3920
Phone (760) 568-3613
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G436093 | Medicaid | CA | |
| P000310183 | Other | CA | RAILROAD MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43609 | CA | MD | General Practice Dentistry |
| G43609 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Hematology-Oncology Medical Group Inc | Hematology & Oncology | Current | Accepting new patients |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
39800 Bob Hope Dr
Ste C
Rancho Mirage, CA 92270
Phone (760) 568-3613
34490 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 568-3613
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Rancho Mirage, CA
- NPI 1427069368
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1427069350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34490 BOB HOPE DR.",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922700000",
"telephone_number": "760-568-3613",
"fax_number": "760-340-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34490 BOB HOPE DR.",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922700000",
"telephone_number": "760-568-3613",
"fax_number": "760-340-5189"
}
],
"practiceLocations": [
{
"address_1": "39800 Bob Hope Dr",
"address_2": "Ste C",
"address_purpose": "LOCATION",
"city": "Rancho Mirage",
"state": "CA",
"postal_code": "922703920",
"country_code": "US",
"telephone_number": "760-568-3613",
"fax_number": "760-340-5189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "DAVID",
"middle_name": "EUGENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G43609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G436093",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P000310183",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.