Individual provider Active NPI

Vicky Lynn Young, M.D., M.P.H.

  • Occupational Medicine Physician
  • Vista, CA
National Provider Identifier
1780763235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
G855 35 Issued in CA
Practice address
3225 Business Park Dr
Suite 1
Vista, CA 92081-8548
Phone
(760) 940-5480
Fax
(760) 597-5739
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X G855 35 CA Primary

Addresses

Primary practice location

3225 Business Park Dr
Suite 1
Vista, CA 92081-8548

Mailing address

1844 High Ridge Ave
Carlsbad, CA 92008-3759
Phone (760) 720-0104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G855 35CAMDOccupational Medicine Physician

Interoperability endpoints

  • Direct secure messaging: vicky.young@3856.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780763235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 HIGH RIDGE AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083759",
            "telephone_number": "760-720-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 BUSINESS PARK DR",
            "address_2": "SUITE 1",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818548",
            "telephone_number": "760-940-5480",
            "fax_number": "760-597-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "VICKY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G855 35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • 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.