Active NPI
John K Young, D.O.
- Family Medicine Physician
- Long Beach, CA
National Provider Identifier
1477638898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A4969
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- College Medical Center
- Memorialcare Long Beach Medical Center
- St Mary Medical Center
- Long Beach Healthcare Center
- Beachside Post Acute
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
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.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1215373626
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1740724350
Nursing home
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
-
- Home Health Agency
- Simi Valley, CA
- NPI 1770749459
-
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1225025836
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.