Active NPI
Jaime Young, NP
- Adult Health Nurse Practitioner
- Oakland, CA
National Provider Identifier
1780157651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 95010794
- Practice address
- 400 29TH St Ste 501
Oakland, CA 94609-3550 - Phone
- (510) 268-1800
- NPI assigned
- Jan 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95010794 | CA | Primary |
Addresses
Primary practice location
400 29TH St Ste 501
Oakland, CA 94609-3550
Mailing address
400 29TH St Ste 501
Oakland, CA 94609-3550
Phone (510) 268-1800
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 29TH St
Suite 501
Oakland, CA 94609-3550
Phone (707) 343-1412
Hospital & facility affiliations
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center - Alta Bates Camp
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010794 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Area Quality Health Corporation | Current | Accepting new patients |
Locations
400 29th St
Ste 501
Oakland, CA 94609
Phone (415) 990-8111
Interoperability endpoints
- jyoung99306@firsthealth.direct-ci.net
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Oakland, CA
- NPI 1295182335
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1780157651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 29TH ST STE 501",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093550",
"telephone_number": "510-268-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 29TH ST STE 501",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093550",
"telephone_number": "510-268-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JAIME",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95010794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.