Individual provider Active NPI

Andrew Young, OD

  • Optometrist
  • Woodland Hills, CA
National Provider Identifier
1619700663
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35101TLG Issued in CA
Practice address
21800 Victory Blvd Ofc
Woodland Hills, CA 91367-2227
Phone
(818) 704-1255
NPI assigned
Aug 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35101TLG CA Primary

Addresses

Primary practice location

21800 Victory Blvd Ofc
Woodland Hills, CA 91367-2227

Mailing address

21800 Victory Blvd Ofc
Woodland Hills, CA 91367-2227
Phone (818) 704-1255

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917004433 CA Practitioner - Optometry 9931640901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aarchan Joshi, M.D. Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

520 N Prospect Ave
Ste 206
Redondo Beach, CA 90277
Phone (310) 376-8850

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1619700663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 VICTORY BLVD OFC",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672227",
            "telephone_number": "818-704-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 VICTORY BLVD OFC",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672227",
            "telephone_number": "818-704-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANDREW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35101TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.