Individual provider Active NPI

Edwin Arthur Youngstrom, D.O.

  • Urology Physician
  • Bakersfield, CA
National Provider Identifier
1992091748
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5101019533 Issued in MI
Practice address
3838 San Dimas St Ste B231
Bakersfield, CA 93301-1494
Phone
(661) 665-0505
Fax
(661) 665-7844
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5101019533 MI Primary

Addresses

Primary practice location

3838 San Dimas St Ste B231
Bakersfield, CA 93301-1494

Mailing address

3838 San Dimas St Ste B231
Bakersfield, CA 93301-1494
Phone (661) 665-0505

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160923002118 CA Practitioner - Urology 6305133042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Midwestern University, Chicago College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

3838 San Dimas St
Suite B231
Bakersfield, CA 93301-1494
Phone (661) 665-0505

Hospital & facility affiliations

  • Around the Clock Home Care Home health agency, Bakersfield, CA, CCN 557765
  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101019533MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Mar 30, 2019 Accepting new patients
Dignity Health Medical Foundation CurrentSince Mar 30, 2019 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

3838 San Dimas St
Ste B201
Bakersfield, CA 93301
Phone (661) 321-3161

3838 San Dimas St
Ste A200
Bakersfield, CA 93301
Phone (661) 654-0200

3838 San Dimas St
Ste B231
Bakersfield, CA 93301
Phone (661) 665-0505

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1992091748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST STE B231",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011494",
            "telephone_number": "661-665-0505",
            "fax_number": "661-665-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST STE B231",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011494",
            "telephone_number": "661-665-0505",
            "fax_number": "661-665-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGSTROM",
        "first_name": "EDWIN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101019533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.