DR. SHAWN YOUNGS (NPI# 1063447944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063447944 |
| Entity Type | Individual |
| Full Name | DR. SHAWN YOUNGS |
| Credential | MD |
| Practice Address |
10305 Promenade Pkwy Elk Grove CA 95757-9400 |
| Mailing Address |
630 E North Ave Dept of Family Medicine Carol Stream IL 60188 |
| Practice Telephone | 9164785000 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C153245 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036109659 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036109659 | 05 | |
| 400480 | MEDICARE GROUP PTAN | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1147 E Butterfield Road, Wheaton, IL 60189 | 6306167223 | 6306167224 |
| 630 E North Ave, Dept of Family Medicine, Carol Stream, IL 60188 | 6304585300 |
| Street Address |
10305 PROMENADE PKWY |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95757-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417989666 | Dolores Calderon | Family Medicine | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 | 2006-07-07 |
| 1801399076 | D'andrea Ruth Williams | Behavior Technician | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 | 2018-03-14 |
| 1851822514 | Louella Narvarte Biagtan-clements | Pharmacist | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 | 2017-03-24 |
| 1306389671 | Danielle Fisher | Physical Therapist | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 | 2016-11-18 |
| 1790092245 | Rebecca Bujwit | Physical Therapist | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 | 2010-09-03 |
| 1104019348 | Scott David Meier | Pediatrics | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 | 2007-08-21 |
| 1780889360 | Victoria Banez Dizon | Pediatrics | 10305 Promenade Pkwy, Elk Grove, Elk Grove, CA 95757-9400 | 2007-06-15 |
| 1386722031 | Lisa M. Vila | Family Medicine | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1386287027 | Winslow Dds Inc. | Clinic/Center | 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 | 2019-10-25 |
| 1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1821578386 | Michele Elizabeth Amato | Behavior Technician | 8350 Lotz Parkway, Elk Grove, CA 95757 | 2018-08-15 |
| 1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
| 1497207351 | Ron Dancy | Genetic Counselor, MS | 9864 West Taron Dr, Elk Grove, CA 95757 | 2016-10-26 |
| 1780051524 | Jesselle Pablo | Counselor | 10227 Pedra Do Sol Way, Elk Grove, CA 95757 | 2015-08-27 |
| 1851708945 | Yen Ngoc Hoang | Pharmacist | 8257 Hopewell Drive, Elk Grove, CA 95757 | 2014-07-21 |
| 1477742070 | Nkechi Akudo Nzerem-johnson | Pediatrics | Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 | 2007-10-18 |
| Find all providers in zip 95757 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1972938363 | Silen Bun | Family Medicine | 8170 Laguna Blvd Ste 220, Elk Grove, CA 95758 | 2013-09-05 |
| 1114299740 | Benjamin Green Md Inc | Family Medicine | 9245 Laguna Springs Dr, Suite 200, Elk Grove, CA 95758-7987 | 2012-01-27 |
| 1750676227 | Patricia L To | Family Medicine | 2511 Laguna Blvd # Ms 217fit, Elk Grove, CA 95758-7421 | 2011-06-13 |
| 1114005865 | Vijaya L. Reddy | Family Medicine | 9261 Laguna Springs Dr, Suite 100, Elk Grove, CA 95758-7983 | 2006-11-01 |
| 1699853317 | Ehsan Sultani | Family Medicine | 9381 E Stockton Blvd Ste 220, Elk Grove, CA 95624-5070 | 2006-11-01 |
| 1962516591 | Timberlake Family Practice, A Medical Corp. | Family Medicine | 9381 E Stockton Blvd Ste 216, Elk Grove, CA 95624-5070 | 2006-08-19 |
| 1689685331 | Helene Thuy-ha Nguyen | Family Medicine | 8170 Laguna Blvd Ste 215, Elk Grove, CA 95758-7902 | 2006-08-10 |
| 1013930866 | Thomas A Bzoskie | Family Medicine | 8170 Laguna Blvd Ste 113, Elk Grove, CA 95758-7902 | 2006-07-25 |
| 1932120334 | Richard Newton Gray, Jr. | Family Medicine | California Department of Corrections and Rehabilitation, Elk Grove, CA 95785 | 2006-07-21 |
| Find all providers in ELK GROVE | ||||
Please comment or provide details below to improve the information on DR. SHAWN YOUNGS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.