Individual provider Active NPI

Gabriel Jang-Jyh Young, M.D.

  • Internal Medicine Physician
  • Cupertino, CA
National Provider Identifier
1811084114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A042629 Issued in CA
Practice address
10011 N Foothill Blvd
Suite #105
Cupertino, CA 95014-5649
Phone
(408) 366-0600
Fax
(408) 366-0609
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

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
Internal Medicine Physician 207R00000X A042629 CA Primary

Addresses

Primary practice location

10011 N Foothill Blvd
Suite #105
Cupertino, CA 95014-5649

Mailing address

10011 N Foothill Blvd
Suite #105
Cupertino, CA 95014-5649
Phone (408) 366-0600

Other identifiers 1

IdentifierTypeStateIssuer
4177426MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000090 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Infectious Disease 5597825646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10011 N Foothill Blvd
Suite 105
Cupertino, CA 95014-5649
Phone (408) 366-0600

Hospital & facility affiliations

  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A042629CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Medical Clinic Inc Internal Medicine CurrentSince Dec 15, 2014 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Hospital Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

10011 N Foothill Blvd
Ste 105
Cupertino, CA 95014
Phone (408) 366-0600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gabriel.young@3745188675588.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811084114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 N FOOTHILL BLVD",
            "address_2": "SUITE #105",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145649",
            "telephone_number": "408-366-0600",
            "fax_number": "408-366-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 N FOOTHILL BLVD",
            "address_2": "SUITE #105",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145649",
            "telephone_number": "408-366-0600",
            "fax_number": "408-366-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GABRIEL",
        "middle_name": "JANG-JYH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A042629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4177426",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.