Individual provider Active NPI

Harding G Young, MD

  • Family Medicine Physician
  • Lynwood, CA
National Provider Identifier
1881788669
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G62293 Issued in CA
Practice address
3617 Martin Luther King Jr Blvd
Suite 1
Lynwood, CA 90262-3504
Phone
(310) 631-2660
NPI assigned
Oct 3, 2006
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G62293 CA Primary

Addresses

Primary practice location

3617 Martin Luther King Jr Blvd
Suite 1
Lynwood, CA 90262-3504

Mailing address

3617 Martin Luther King Jr Blvd
Suite 1
Lynwood, CA 90262-3504

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
I20100311000200 CA Practitioner - Family Practice 7719915206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3617 Martin Luther King Jr Blvd
Suite 2
Lynwood, CA 90262-3504
Phone (310) 631-2660

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harding G. Young, MD, Inc. Family Medicine CurrentSince Dec 31, 1998 Accepting new patients
Los Angeles County Department of Public Health Current Accepting new patients
All Care Medical Group Inc Family Medicine Past Accepting new patients

Locations

3617 Martin Luther King Jr Blvd
Ste 1
Lynwood, CA 90262
Phone (310) 631-2660

3617 Martin Luther King Jr Blvd
Ste 2
Lynwood, CA 90262
Phone (310) 631-2660

3628 E Imperial Hwy
Ste 302
Lynwood, CA 90262
Phone (310) 631-2660

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hardingyoung-hisshelteringarms@lacsapc.netsmartdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDGBA/Endpoint/ABDGBA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clear View Sanitarium, Inc.Gardena, CA, CCN 555881 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 1, 2020
Jul 1, 2020
Clear View Convalescent CenterGardena, CA, CCN 555880 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 1, 2020
Jul 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1881788669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 1",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 1",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623504",
            "telephone_number": "310-631-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "HARDING",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G62293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.