Douglas Young, M.D.,Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DOUGLAS YOUNG, M.D.,INC.

Practice address

3840 Watt Ave
Suite E
Sacramento, CA 95821-2640

Phone

(916) 484-0500

Fax

(916) 484-0600

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Young, MDNPI 1346340296

Title

President

Phone

(916) 484-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Young, MD

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1346340296
  Medicare reassignment NPD Authorized official
• Rebecca Ann Lewis, FNP

  • Adult Medicine Physician
  • Sacramento, CA
  • NPI 1366206237
  Medicare reassignment NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1881762953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 WATT AVE",
            "address_2": "SUITE E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212640",
            "telephone_number": "916-484-0500",
            "fax_number": "916-484-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 WATT AVE",
            "address_2": "SUITE E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212640",
            "telephone_number": "916-484-0500",
            "fax_number": "916-484-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS YOUNG, M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-484-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colten Dougherty, DPM
• Michael A Dougherty, PHD
• Raymond S Dougherty, M.D.
• Sara Ellen Dougherty, M.D.
• Douglas a. Lott DDS Inc
• Alexandra Douglas
• Ayana Douglas
• Erica Morgan Douglas
• Holly Douglas
• Melissa Douglas

• Internal Medicine Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.