Individual provider Active NPI

Bryan Joseph Young, MSN FNP-C

  • Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1922580562
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009457 Issued in CA
Practice address
39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone
(760) 340-0053
NPI assigned
Aug 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95009457 CA Primary

Addresses

Primary practice location

39950 Vista del Sol
Rancho Mirage, CA 92270-3206

Mailing address

237 A St # 28354
San Diego, CA 92101-4003
Phone (888) 705-8722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bryan.y@mpachealthcare.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125000750 CA Practitioner - Nurse Practitioner 6608113873 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC CurrentSince Sep 2, 2021 Accepting new patients
Midwest Post-Acute Care of California PC Nurse Practitioner CurrentSince Jan 8, 2019 Accepting new patients
Desert Heart Rhythm Consultants Inc CurrentSince Apr 7, 2025 Accepting new patients
Diagnostic Imaging Services PastSince Apr 7, 2025 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

3232 Thunder Dr
Oceanside, CA 92056
Phone (760) 724-2193

1100 N Palm Canyon Dr
Ste 206
Palm Springs, CA 92262
Phone (760) 833-1600

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

237 A St
#28354
San Diego, CA 92101

1335 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (562) 867-0811

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

7057 Shoup Ave
West Hills, CA 91307
Phone (818) 348-8422

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1922580562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 A ST # 28354",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014003",
            "telephone_number": "888-705-8722",
            "fax_number": "888-705-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39950 VISTA DEL SOL",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703206",
            "telephone_number": "760-340-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRYAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSN FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bryan.y@mpachealthcare.com",
            "affiliation": "N",
            "address_1": "39950 Vista Del Sol",
            "city": "Rancho Mirage",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922703206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.