Individual provider Active NPI

John K Young, D.O.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1477638898
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4969 Issued in CA
Practice address
1230 E Carson St
Long Beach, CA 90807-3031
Phone
(562) 424-7723
Fax
(562) 427-4999
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A4969 CA Primary

Addresses

Primary practice location

1230 E Carson St
Long Beach, CA 90807-3031

Mailing address

2110 Artesia Blvd # 712
Redondo Beach, CA 90278-3073
Phone (562) 424-7723

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
I20100927000630 CA Practitioner - Family Practice 3678593043

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18436 Hawthorne Blvd
Suite 201
Torrance, CA 90504-4541

2110 Artesia Blvd
Suite 712
Redondo Beach, CA 90278-3073

Hospital & facility affiliations

  • Magnificent Healthcare Systems Inc Home health agency, Simi Valley, CA, CCN 059244
  • College Medical Center Hospital, Long Beach, CA, CCN 050776
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191
  • Long Beach Healthcare Center Nursing home, Long Beach, CA, CCN 055364
  • Beachside Post Acute Nursing home, Long Beach, CA, CCN 055123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1477638898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 ARTESIA BLVD # 712",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783073",
            "telephone_number": "562-424-7723",
            "fax_number": "562-427-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E CARSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073031",
            "telephone_number": "562-424-7723",
            "fax_number": "562-427-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.