Individual provider Active NPI

Samuel Young, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Murrieta, CA
National Provider Identifier
1881686285
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
33695 Issued in CA
Practice address
31538 Whitefield CT
Murrieta, CA 92563-6216
Phone
(951) 760-2481
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 33695 CA Primary

Addresses

Primary practice location

31538 Whitefield CT
Murrieta, CA 92563-6216

Mailing address

31538 Whitefield CT
Murrieta, CA 92563-6216
Phone (951) 760-2481

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
I20171120001875 CA Practitioner - Oral SurgeryPractitioner - Maxillofacial SurgeryPractitioner - Dentist 8022384924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist, Maxillofacial Surgery
Education
Harvard School of Dental Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loma Linda UniversityGroup PAC ID 7911971833, 7 clinicians

Practice addresses (Care Compare)

11092 Anderson St
Loma Linda, CA 92350-1706
Phone (909) 558-4613

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grads Inc. CurrentSince Apr 6, 2024 Accepting new patients
Loma Linda University CurrentSince Apr 6, 2024 Accepting new patients
Maksim Dentistry, Apc Current Accepting new patients
Loma Linda University Current Accepting new patients
Advanced Dentistry of San Diego Past Accepting new patients

Locations

11092 Anderson St
Loma Linda, CA 92350
Phone (909) 558-4222

630 S Melrose Dr
Ste B
Vista, CA 92081
Phone (760) 726-5703

Interoperability endpoints

  • Direct secure messaging: syoung374131@direct.llu.edu

Organizations & group practices 6

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1881686285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31538 WHITEFIELD CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925636216",
            "telephone_number": "951-760-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31538 WHITEFIELD CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925636216",
            "telephone_number": "951-760-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SAMUEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "33695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.