Individual provider Active NPI

Victoria Ann Young, O.D.

  • Optometrist
  • Alameda, CA
National Provider Identifier
1760533442
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9584 Issued in CA
Practice address
847 Marina Village Pkwy
Alameda, CA 94501-1035
Phone
(408) 504-6053
NPI assigned
Jan 16, 2007
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9584 CA Primary

Addresses

Primary practice location

847 Marina Village Pkwy
Alameda, CA 94501-1035

Mailing address

847 Marina Village Pkwy
Alameda, CA 94501-1035
Phone (408) 504-6053

Other practice location 1

670 Northridge Shopping Ctr
Salinas, CA 93906-2014
Phone (831) 443-6090

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000564 CA Practitioner - Optometry 3375790546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genevieve Kim Corrigan OD IncGroup PAC ID 6204160815, 2 clinicians

Practice addresses (Care Compare)

2209 Francisco Dr
Suite 150
El Dorado Hills, CA 95762-3805
Phone (916) 933-5535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher P. Young OD, Inc. Optometrist CurrentSince Nov 6, 2022 Accepting new patients
Genevieve Kim Corrigan OD Inc Optometrist CurrentSince Nov 4, 2022 Accepting new patients
Dr Yeh Optometry Corporation Optometrist PastSince Mar 11, 2025 Accepting new patients

Locations

847 Marina Village Pkwy
Alameda, CA 94501
Phone (408) 504-6053

2209 Francisco Dr
Ste 150
El Dorado Hills, CA 95762
Phone (916) 933-5335

Organizations & group practices 4

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1760533442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 MARINA VILLAGE PKWY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011035",
            "telephone_number": "408-504-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 MARINA VILLAGE PKWY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011035",
            "telephone_number": "408-504-6053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Northridge Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939062014",
            "country_code": "US",
            "telephone_number": "831-443-6090",
            "fax_number": "831-443-6921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.