Carroll Mark Young

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

315 Issued in CA

Practice address

4150 Regents Park Row Suite 365
Ucsd Orthopaedic Hand Therapy
La Jolla, CA 92037-2115

Phone

(858) 657-8177

Fax

(858) 657-8269

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Carroll T Mark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720180565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8747 CLIFFRIDGE AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372115",
            "telephone_number": "858-452-0895",
            "fax_number": "858-450-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW SUITE 365",
            "address_2": "UCSD ORTHOPAEDIC HAND THERAPY",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372115",
            "telephone_number": "858-657-8177",
            "fax_number": "858-657-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CARROLL",
        "middle_name": "MARK",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARROLL",
            "last_name": "MARK",
            "middle_name": "T",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Han Yin
• Jeffrey Yin, PHARM.D.
• Christopher B. Yokoyama, M.D.
• Frank Kevin Yoo, M.D.
• Heather H Yoo, DACM
• Heidi Renee Young
• Jennifer Young, MMSC, PA-C
• Kathleen Dykes Young, MS
• Michael C Young, DO
• Taylor Young

• Hand Occupational Therapist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.