Individual provider Active NPI

John Y Young, MD

  • Diagnostic Radiology Physician
  • Oka Tamuning, GU
National Provider Identifier
1629120381
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M-1519 Issued in GU
Practice address
850 Governor Carlos Camacho Road
Oka Tamuning, GU 96913-3128
Phone
(671) 647-2418
Fax
(671) 649-5508
NPI assigned
Jan 16, 2007
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M-1519 GU Primary

Addresses

Primary practice location

850 Governor Carlos Camacho Road
Oka Tamuning, GU 96913-3128

Mailing address

850 Governor Carlos Camacho Road
Oka Tamuning, GU 96913-3128
Phone (671) 647-2418

Other identifiers 8

IdentifierTypeStateIssuer
5586217OtherCACIGNA
CB316288OtherCAMEDICARE
P02229207OtherCARAILROAD MEDICARE
10637222OtherCAPRIME HEALTH
CA341651OtherCAMEDICARE
P02229212OtherCARAILROAD MEDICARE
CA341652OtherCAMEDICARE
CA341650OtherCAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041122000708 CA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 9133184807 Reassigns benefits to 5 organizations
I20161213002826 GU Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9133184807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hanford Community HospitalGroup PAC ID 7416868377, 60 clinicians
Ybl PLLCGroup PAC ID 5395929392, 3 clinicians
Adventist Health TulareGroup PAC ID 4385988757, 40 clinicians

Practice addresses (Care Compare)

115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000

643 Chalan San Antonio
Suite 109
Tamuning, GU 96913-3644
Phone 6716486390816

869 N Cherry St
Tulare, CA 93274-2207
Phone (559) 688-0821

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
86.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ybl PLLC Diagnostic Radiology CurrentSince May 5, 2017 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Oct 22, 2016 Accepting new patients
Reedley Community Hospital CurrentSince Apr 1, 2023 Accepting new patients
Los Angeles Radiology Medical Associates, Inc. Diagnostic Radiology CurrentSince Feb 5, 2019 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince May 13, 2024 Accepting new patients
Hanford Community Hospital CurrentSince Aug 19, 2020 Accepting new patients
Adventist Health Tulare CurrentSince Aug 19, 2020 Accepting new patients
Reedley Community Hospital CurrentSince Apr 1, 2023 Accepting new patients
Hanford Medical Associates, Inc. Past Accepting new patients

Locations

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

643 Chalan San Antonio
Ste 109
Tamuning, GU 96913
Phone (671) 648-6390

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

Organizations & group practices 9

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

Hospital & facility affiliations 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1629120381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 GOVERNOR CARLOS CAMACHO ROAD",
            "city": "OKA TAMUNING",
            "state": "GU",
            "postal_code": "969133128",
            "telephone_number": "671-647-2418",
            "fax_number": "671-649-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 GOVERNOR CARLOS CAMACHO ROAD",
            "city": "OKA TAMUNING",
            "state": "GU",
            "postal_code": "969133128",
            "telephone_number": "671-647-2418",
            "fax_number": "671-649-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOHN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "M-1519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5586217",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB316288",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02229207",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME HEALTH",
            "identifier": "10637222",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA341651",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02229212",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA341652",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA341650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oka Tamuning, GU

Sources for this page

Verify at the official NPI Registry.