Samantha Annie Young, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34321TLG Issued in CA

Practice address

20211 Patio Dr Ste 100
Castro Valley, CA 94546-4338

Phone

(510) 881-4401

Fax

(510) 881-4423

NPI assigned

Aug 8, 2019

Sex

Female

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of California - School of Optometry, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shital Sheth Chatwani, O.D.

  • Corneal and Contact Management Optometrist
  • Newark, CA
  • NPI 1568578300
  Medicare reassignment
• John Y Wong, O.D.

  • Optometrist
  • Castro Valley, CA
  • NPI 1457371619
  Medicare reassignment
• Eye Site

  • Optometrist
  • Henderson, NV
  • NPI 1114231081
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1982259628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 BLACK PINE DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771373",
            "telephone_number": "510-816-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20211 PATIO DR STE 100",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464338",
            "telephone_number": "510-881-4401",
            "fax_number": "510-881-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SAMANTHA",
        "middle_name": "ANNIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34321TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Yeager, RN
• Alana Kathleen Yee, OTR/L
• Amanda Mercedes Yee, MD
• Janice C Young, RDHAP
• Jennifer Young, D.D.S.
• Jennifer Yu
• Zhao Hui Yu
• Matthew Yuen, DDS
• Richard Zamora
• Jeffrey Allan Zellner

• Optometrist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.
• 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.

Verify at the official NPI Registry.