Gary W.O. Young, M.D.
Individual provider Active NPI Family Medicine Physician · Placerville, CA
NPI 1689601155 · NPPES record last updated Dec 18, 2013
Key facts
- NPI
- 1689601155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G678890 (CA)
- Practice address
- 4341 Golden Center Dr
Suite B
Placerville, CA 95667-6260 - Phone
- (530) 621-3600
- Fax
- (530) 626-7617
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marshall Medical Center
Practice addresses (Care Compare)
4341 Golden Ctr Dr
Placerville, CA 95667-6260
Phone (530) 626-1144
Hospital & facility affiliations
- Marshall Home Care
- Accentcare Home Health of California, Inc
- Alpine Home Health Services LLC
- Snowline Health
- Marshall Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 142 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090624000384 | CA | Practitioner - Family Practice | 3870663206 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G678890 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Medical Center | Family Medicine | Current |
Accepting new patients |
| Marshall Medical Center | Current |
Accepting new patients |
Locations
3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920
4341 Golden Center Dr
Bldg B
Placerville, CA 95667
4341 Golden Center Dr
Ste B
Placerville, CA 95667
Phone (530) 621-3600
1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470
4341 Golden Center Dr
Placerville, CA 95667
Phone (530) 621-3600
905 Spring St
Placerville, CA 95667
Phone (530) 626-8300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G678890 | CA | Yes |
Addresses
Primary practice location
4341 Golden Center Dr
Suite B
Placerville, CA 95667-6260
Mailing address
PO Box 45680
Suite 7
San Francisco, CA 94145-0680
Phone (530) 621-3600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0070790 | Medicaid | CA |
Other providers in Placerville, CA
- Elaine Elizabeth Ybarra
- Joshua John Yeager
- Tony Yee
- Chet R Yoder
- Scott R Yoder
- Kimberly Ann Young
- Constance Susan Zelinsky
- Daming Zhu
- Siri Kate Ziese
- Amber Christene Zinser
All providers in Placerville, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.