DR. JEFFREY MICHAEL YOUNG MD NPI 1982604047

NPI Information

NPI: 1982604047
Provider Name: DR. JEFFREY MICHAEL YOUNG, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1080 EMELINE AVE
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 454-4100
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DR. Jeffrey Michael Young, MD is a general practice in Santa Cruz, CA. DR. Jeffrey Michael Young, MD NPI is 1982604047. 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:

1080 EMELINE AVE
SANTA CRUZ, CA
ZIP 95060-966
Phone: (831) 454-4100
Fax: (831) 454-5001

The enumeration date for this NPI number is 7/29/2005 and was last updated on 10/7/2011.

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
1	208D00000X	General Practice		G52682	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AY2766674	OTHER		DEA
2	F66793	MEDICARE UPIN
3	00G526820	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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