Organization Active NPI

David V. Young Chiropractic Inc.

Doing business as Delta Family Chiropractic

  • Chiropractor
  • Cameron Park, CA
National Provider Identifier
1609531656
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DAVID V. YOUNG CHIROPRACTIC INC.
Doing business as
Delta Family Chiropractic
Practice address
3161 Cameron Park Dr Ste 104
Cameron Park, CA 95682-7977
Phone
(530) 676-9300
Fax
(530) 676-1783
NPI assigned
Nov 4, 2021
Last updated
Jan 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Mr. David Young, DCNPI 1710217229
Title
President
Phone
(530) 676-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

3161 Cameron Park Dr Ste 104
Cameron Park, CA 95682-7977

Mailing address

3161 Cameron Park Dr Ste 104
Cameron Park, CA 95682-7977
Phone (530) 676-9300

Other names 1

  • Delta Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412001494 CA Part B Supplier - Clinic/Group Practice 5193111573 Receives reassigned benefits from 1 practitioner
Practice locations: Cameron Park, CA

National Provider Directory

National Provider Directory

Locations

3161 Cameron Park Dr
Ste 104
Cameron Park, CA 95682
Phone (530) 676-9300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1609531656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 CAMERON PARK DR STE 104",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827977",
            "telephone_number": "530-676-9300",
            "fax_number": "530-676-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 CAMERON PARK DR STE 104",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827977",
            "telephone_number": "530-676-9300",
            "fax_number": "530-676-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID V. YOUNG CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-676-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delta Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cameron Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.