Active NPI
Guillermo Arturo Young, M.D.
- Pediatric Cardiology Physician
- Los Angeles, CA
National Provider Identifier
1811917032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- A25182
- Practice address
- 1300 N Vermont Ave
Suite 402
Los Angeles, CA 90027-6005 - Phone
- (323) 953-9926
- Fax
- (323) 953-9352
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | A25182 | CA | Primary |
Addresses
Primary practice location
1300 N Vermont Ave
Suite 402
Los Angeles, CA 90027-6005
Mailing address
1300 N Vermont Ave
Suite 402
Los Angeles, CA 90027-6005
Phone (323) 953-9926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A251820 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220720001460 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 8628459765 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A25182 | CA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guillermo a. Young, MD Inc | Pediatric Cardiology | Current | Accepting new patients |
| Sylvana M. Hidalgo, M.D., Inc. | Pediatric Cardiology | Past | Accepting new patients |
Locations
1300 N Vermont Ave
Ste 402
Los Angeles, CA 90027
Phone (323) 953-9926
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Pediatric Cardiology Physician
- Los Angeles, CA
- NPI 1033751540
-
- Pediatric Cardiology Physician
- Los Angeles, CA
- NPI 1023901261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1811917032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N VERMONT AVE",
"address_2": "SUITE 402",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276005",
"telephone_number": "323-953-9926",
"fax_number": "323-953-9352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N VERMONT AVE",
"address_2": "SUITE 402",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276005",
"telephone_number": "323-953-9926",
"fax_number": "323-953-9352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "GUILLERMO",
"middle_name": "ARTURO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "A25182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A251820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.