Active NPI
Stanley Young MD Inc
- Dermatology Physician
- San Mateo, CA
National Provider Identifier
1972674703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A22530
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stanley Young, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A22530 | Other | CA | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dermatology Physician
- San Mateo, CA
- NPI 1902025190
-
- Dermatology Physician
- San Leandro, CA
- NPI 1114953841
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.