Active NPI
Richard Alan Young, MD
- Family Medicine Physician
- San Mateo, CA
National Provider Identifier
1629042437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G53170
- Practice address
- 1 Baywood Ave
Ste 10
San Mateo, CA 94402 - Phone
- (650) 342-2974
- Fax
- (650) 347-5404
- NPI assigned
- Feb 16, 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 | G53170 | CA | Primary |
Addresses
Primary practice location
1 Baywood Ave
Ste 10
San Mateo, CA 94402
Mailing address
1 Baywood Ave
Ste 10
San Mateo, CA 94402
Phone (650) 342-2974
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 |
|---|---|---|---|---|
| I20100818000315 | CA | Practitioner - Family Practice | 0446384010 | Practice locations: San Mateo, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, San Diego School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Baywood Ave
San Mateo, CA 94402-1537
Phone (650) 342-2974
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 46 |
| Spinal fusion | 48 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 29 |
| Laminectomy or laminotomy (partial removal of spine bones) | 53 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53170 | CA | MD | Family Medicine Physician |
Interoperability endpoints
- ryoung46140@hisp.ehr.sutterhealth.org
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mills-Peninsula Medical Center
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
dba Menlo Park Surgical Hospital
- General Acute Care Hospital
- Menlo Park, CA
- NPI 1295199701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1629042437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BAYWOOD AVE",
"address_2": "STE 10",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94402",
"telephone_number": "650-342-2974",
"fax_number": "650-347-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAYWOOD AVE",
"address_2": "STE 10",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94402",
"telephone_number": "650-342-2974",
"fax_number": "650-347-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "RICHARD",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G53170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
- Anne Yoshimura, ATC
- Young Dental Group, a Professional Corporation
- Brianna C Young, MA
- Dely A Young
- Rhia Farrah Young
- Stanley Young, MD
- Yili Zhen Young, O.D.
- Youngerman & Abusaidi Chiropractic Clinic, Inc. (San Mateo Chiropractic Clinic Redwood City Chiropractic)
- Elizabeth Anne Youngerman, D.C.
- Ben Yount, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.