Individual provider Active NPI

David Vaughn Young, D.C.

  • Chiropractor
  • Cameron Park, CA
National Provider Identifier
1710217229
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
28295 Issued in CA
Practice address
3161 Cameron Park Dr Ste 104
Cameron Park, CA 95682-7977
Phone
(530) 676-9300
Fax
(530) 676-1783
NPI assigned
Jan 5, 2010
Last updated
Jan 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 28295 CA Primary

Addresses

Primary practice location

3161 Cameron Park Dr Ste 104
Cameron Park, CA 95682-7977

Mailing address

3161 Cameron Park Dr Ste 104
Cameron Park, CA 95682-7977
Phone (530) 676-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121101000379 CA Practitioner - Chiropractic 2961652714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28295CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David V. Young Chiropractic Inc. Chiropractor CurrentSince Dec 30, 2021 Accepting new patients

Locations

3161 Cameron Park Dr
Ste 104
Cameron Park, CA 95682
Phone (530) 676-9300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1710217229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 CAMERON PARK DR STE 104",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827977",
            "telephone_number": "530-676-9300",
            "fax_number": "530-676-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 CAMERON PARK DR STE 104",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827977",
            "telephone_number": "530-676-9300",
            "fax_number": "530-676-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DAVID",
        "middle_name": "VAUGHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.