Active NPI
Brett Young, WT
- Other Technician
- Palm Springs, CA
National Provider Identifier
1881831527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- AT1219
- Practice address
- 275 N El Cielo Rd
Palm Springs, CA 92262-6972 - Phone
- (760) 320-4122
- Fax
- (760) 323-4823
- NPI assigned
- Jan 16, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | AT1219 | CA | Primary |
Addresses
Primary practice location
275 N El Cielo Rd
Palm Springs, CA 92262-6972
Mailing address
275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 320-4122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT1219 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT1219 | CA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1881831527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 N EL CIELO RD",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626972",
"telephone_number": "760-320-4122",
"fax_number": "760-323-4823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N EL CIELO RD",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626972",
"telephone_number": "760-320-4122",
"fax_number": "760-323-4823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "BRETT",
"credential": "WT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "AT1219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AT1219",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.