Organization Active NPI

Grace Young, M.D., Inc.

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1780712398
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GRACE YOUNG, M.D., INC.
Practice address
1801 W Romneya Dr
Ste 104
Anaheim, CA 92801-1830
Phone
(714) 817-7878
Fax
(714) 277-4063
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Grace Jean Young, M.D.
Title
President
Phone
(714) 817-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1801 W Romneya Dr
Ste 104
Anaheim, CA 92801-1830

Mailing address

836 E Walnut Ave
Orange, CA 92867-6836
Phone (714) 277-4123

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1780712398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E WALNUT AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676836",
            "telephone_number": "714-277-4123",
            "fax_number": "714-277-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "STE 104",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011830",
            "telephone_number": "714-817-7878",
            "fax_number": "714-277-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE YOUNG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-817-7878",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.