Personal Space Testing

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PERSONAL SPACE TESTING

Practice address

25657 Pine Creek LN
Wilmington, CA 90744-1823

Phone

(310) 999-9824

NPI assigned

Jan 17, 2021

Organization subpart

No

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

Authorized official

Name

Austin L Young, PARAMEDICNPI 1346843372

Title

Field Operations Executive

Phone

(310) 999-9824

Specialties & licenses 10

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Austin Young

  • Paramedic
  • Wilmington, CA
  • NPI 1346843372
  NPD Authorized official

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1437748076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907100437",
            "telephone_number": "310-999-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25657 PINE CREEK LN",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441823",
            "telephone_number": "310-999-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL SPACE TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FIELD OPERATIONS EXECUTIVE",
        "authorized_official_telephone_number": "310-999-9824",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Pave.dhcs.ca.gov",
            "affiliation": "N",
            "endpointDescription": "Medi-cal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25657 Pine Creek Ln",
            "city": "Wilmington",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907441823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eunice Park
• Yvette Marie Parra, RAS
• Vaishali Patel, DDS
• Juan Carlos Pena, M.D.
• Angel Guillen Perez, MEDICAL DOCTOR
• Richard M Peters, OD
• Robin Anne Petersen, SUDCCII
• Gam Nguyen Hong Pham, PA-C
• Jenevie Pham, DDS
• Luz Paola Pina Ramirez

• Public Health or Welfare Agency in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Public Health or Welfare Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.