Individual provider Active NPI

David Eugene Young, M.D.

  • Hematology & Oncology Physician
  • Rancho Mirage, CA
National Provider Identifier
1427069350
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G43609 Issued in CA
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

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G436093MedicaidCA
P000310183OtherCARAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060414000072 CA Practitioner - Hematology/Oncology 2365498276 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43609CAMDGeneral Practice Dentistry
G43609CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Hematology-Oncology Medical Group Inc Hematology & Oncology CurrentSince Apr 1, 2005 Accepting new patients
Eisenhower Medical Center PastSince May 31, 2020 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.

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

Verify at the official NPI Registry.