Heather Marie Clayton-Young, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20223 Issued in CA

Practice address

3509 Coffee Rd Ste D3
Modesto, CA 95355-1357

Phone

(209) 409-8294

NPI assigned

Jun 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: heather.clayton-young.1@29786.direct.athenahealth.com

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.

• Family Health Care Medical Group of Modesto a Professional Corp

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1912967787
  Medicare reassignment
• Doctors Medical Center of Modesto, Inc.

  dba Doctors Medical Center of Modesto

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  NPD (past)

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1902191489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 COFFEE RD STE D3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551357",
            "telephone_number": "209-409-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 COFFEE RD STE D3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551357",
            "telephone_number": "209-409-8294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Celeste Drive",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95355",
            "country_code": "US",
            "telephone_number": "209-527-6900",
            "fax_number": "209-525-7328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON-YOUNG",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Charles Claussen, DPT
• Patricio Clavecillas Jr., MD
• Christina Clay
• Nicholas Alexander Clay, PT, DPT
• Clayton K Casey MD Inc a Professional Medical Corporation (WorkHub Work Health Services)
• Susan Patricia Clayton
• Tanner Clayton
• Clear Recovery Center, LLC (Clear Behavioral Health)
• Michelle D. Cleary, R1233040616
• Shelby Clem

• Physician Assistant in Modesto, CA
• Providers in Modesto, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.