Organization Active NPI

Stanley Young MD Inc

  • Dermatology Physician
  • San Mateo, CA
National Provider Identifier
1972674703
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A22530 Issued in CA
Legal business name
STANLEY YOUNG MD INC
Practice address
50 S San Mateo Dr
Suite 380
San Mateo, CA 94401-3865
Phone
(650) 344-7546
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Stanley Young, MDNPI 1902025190
Title
President
Phone
(650) 344-7546

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A22530 CA Primary

Addresses

Primary practice location

50 S San Mateo Dr
Suite 380
San Mateo, CA 94401-3865

Mailing address

50 S San Mateo Dr
Suite 380
San Mateo, CA 94401-3865
Phone (650) 344-7546

Other identifiers 1

IdentifierTypeStateIssuer
A22530OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

50 S San Mateo Dr
Ste 380
San Mateo, CA 94401
Phone (650) 344-7546

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972674703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR",
            "address_2": "SUITE 380",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013865",
            "telephone_number": "650-344-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR",
            "address_2": "SUITE 380",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013865",
            "telephone_number": "650-344-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY YOUNG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-344-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A22530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A22530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.