Individual provider Active NPI

Guillermo Arturo Young, M.D.

  • Pediatric Cardiology Physician
  • Los Angeles, CA
National Provider Identifier
1811917032
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A25182 Issued in CA
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

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A251820MedicaidCA

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
I20220720001460 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Adult Congenital Heart Disease (Achd)Practitioner - Pediatric Medicine 8628459765

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A25182CAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guillermo a. Young, MD Inc Pediatric Cardiology CurrentSince Jun 7, 2022 Accepting new patients
Sylvana M. Hidalgo, M.D., Inc. Pediatric Cardiology PastSince Jun 3, 2025 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.

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

Verify at the official NPI Registry.