Thomas P Young III, PHD, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

7662 Issued in CA

Practice address

830 2ND St Ste a
Santa Rosa, CA 95404-4620

Phone

(415) 895-1441

Fax

(415) 895-1288

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyoung3987198@oc.providencedirect.org
• Direct secure messaging: thomas.young@103909626675204.direct.elationemr.com

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.

• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  Medicare reassignment Care Compare group
• New 2 You Skin & Body

  • Adult Medicine Physician
  • Novato, CA
  • NPI 1861008013
  NPD Authorized official
• Thomas P Young PHD NP PC

  • Addiction (Substance Use Disorder) Registered Nurse
  • Novato, CA
  • NPI 1508416389

  Adult Health

  NPD (past) Authorized official
• Providence Medical Foundation

  • General Practice Physician
  • Diamond Bar, CA
  • NPI 1285890624
  NPD
• Providence Medical Foundation

  • Surgery Physician
  • Eureka, CA
  • NPI 1477790517
  NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1639715709
  NPD
• Joel S. Erickson, M.D., Inc.

  dba Laser Light Treatment Center

  • Cardiovascular Disease Physician
  • Novato, CA
  • NPI 1326392168
  NPD (past)
• Susan Marie Stpierre, DO Inc

  • Family Medicine Physician
  • Novato, CA
  • NPI 1336613504
  NPD (past)
• Sutter East Bay Medical Foundation

  • Family Medicine Physician
  • Orinda, CA
  • NPI 1871538769
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Joseph Health Northern California, LLC

  dba Providence Santa Rosa Memorial Hospital

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  Care Compare affiliation

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1689797029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 RICHMOND DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954013618",
            "telephone_number": "415-301-0902",
            "fax_number": "415-895-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 2ND ST STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044620",
            "telephone_number": "415-895-1441",
            "fax_number": "415-895-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_suffix": "III",
        "credential": "PHD, NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "7662",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "349096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Young
• Greg Young, P.T.
• Jennifer Young
• John Richard Young Jr., MD
• Karlyn Young, MD
• Mojgan G Yousefzadeh, D.D.S.
• Amanda Yu
• Benjamin Yu
• Leo Yuan, PHARMD
• Yuichiro D Nakai a Medical Corporation

• Adult Health Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.

Verify at the official NPI Registry.