Active NPI
Young J. Ko, MD a Medical Corp
- Pulmonary Disease Physician
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A39814
- Legal business name
- YOUNG J. KO, MD A MEDICAL CORP
- Practice address
- 44215 15TH St W Ste 303
Lancaster, CA 93534-5505 - Phone
- (661) 945-0723
- Fax
- (661) 949-5740
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Young J Ko, M.D.
- Title
- Ceo
- Phone
- (661) 945-0724
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A39814 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A39814 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A39814 | CA | Primary |
Addresses
Primary practice location
44215 15TH St W Ste 303
Lancaster, CA 93534-5505
Mailing address
44215 15TH St W Ste 303
Lancaster, CA 93534-5505
Phone (661) 945-0723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A398140 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0666012 | Young J Ko MD | Accreditation | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
44215 15th St W
Ste 303
Lancaster, CA 93534
Phone (661) 945-0723
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lancaster, CA
- NPI 1639277130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303257600000",
"number": "1891919700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44215 15TH ST W STE 303",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935345505",
"telephone_number": "661-945-0723",
"fax_number": "661-949-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44215 15TH ST W STE 303",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935345505",
"telephone_number": "661-945-0723",
"fax_number": "661-949-5740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG J. KO, MD A MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2011-04-20",
"status": "A",
"authorized_official_last_name": "KO",
"authorized_official_first_name": "YOUNG",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "661-945-0724",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A39814",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A39814",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A39814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A398140",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.