Edward M Young Jr., MD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

G045532 Issued in CA

Practice address

5204 Melvin Avenue
Tarzana, CA 91356-3805

Phone

(818) 343-6653

Fax

(818) 343-6683

NPI assigned

Nov 17, 2006

Last updated

Apr 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of California, San Diego School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amg, a Professional Medical Corporation

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1558306266
  Medicare reassignment NPD
• Riverside Medical Clinic, Inc

  dba Riverside Medical Clinic

  • Dermatology Physician
  • Riverside, CA
  • NPI 1720183403
  Medicare reassignment NPD
• Edward M. Young, Jr., MD Inc.

  • Dermatology Physician
  • Tarzana, CA
  • NPI 1508035338
  Authorized official Same address or phone
• Riverside Medical Clinic, Inc

  dba Riverside Medical Clinic

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1730180415
  NPD
• Vega Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Glendale, CA
  • NPI 1609675404
  NPD
• Advanced Dermatology & Skin Cancer Specialists

  • Dermatology Physician
  • Temecula, CA
  • NPI 1881023927
  NPD (past)
• Neil a Martin, MD, Inc

  • Neurological Surgery Physician
  • Los Angeles, CA
  • NPI 1235397902
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1447324850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SO ROBERTSON BLVD",
            "address_2": "SUITE 201",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322347",
            "telephone_number": "310-202-6204",
            "fax_number": "310-202-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 MELVIN AVENUE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563805",
            "telephone_number": "818-343-6653",
            "fax_number": "818-343-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G045532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Yocum
• Vered Yomtubi, OT
• Frederick Harvey Yorra, M.D.
• Shawn Younessi
• Antoine Young
• Giana Young
• Pari Marie Young, MD
• Tianna Young, RN
• Derrick Yu, DO
• Xin Yu, M.D.

• Dermatopathology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Dermatopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.
• 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.