THOMAS P YOUNG PHD NP NPI 1689797029

NPI Information

  • NPI: 1689797029
  • Provider Name: THOMAS P YOUNG, PHD, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 830 2ND ST STE A
    SANTA ROSA, CA
    ZIP 95404
  • Phone: (415) 895-1441

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NPI Details

Thomas P Young, PHD, NP is an adult health nurse practitioner in Santa Rosa, CA. Thomas P Young, PHD, NP NPI is 1689797029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

830 2ND ST STE A
SANTA ROSA, CA
ZIP 95404-620
Phone: (415) 895-1441
Fax: (415) 895-1288

The NPI 1689797029 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 1/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health7662CALIFORNIAYes
2363LA2200XNurse PractitionerAdult Health349096CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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