DR. CLIPPER YOUNG (NPI# 1164802617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164802617 |
| Entity Type | Individual |
| Full Name | DR. CLIPPER YOUNG |
| Credential | PHARMD |
| Practice Address |
365 Tuolumne St Vallejo CA 94590-5700 |
| Mailing Address |
1310 Club Dr Vallejo CA 94592-1187 |
| Practice Telephone | 7075535422 |
| Mailing Telephone | 7076385915 |
| Mailing Fax Number | 7076385959 |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2015-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH69592 | CA | Pharmacy Service Providers |
| Street Address |
365 TUOLUMNE ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508844796 | Georgia Carol Allen | Internal Medicine | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2006-01-06 |
| 1720462468 | Jennifer Elton | Nurse Practitioner | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2015-07-13 |
| 1740687904 | Zenia Ticzon | Nurse Practitioner | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2014-12-03 |
| 1811322274 | Nicole Pena | Neuromusculoskeletal Medicine & OMM | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2013-09-04 |
| 1154672608 | Maria Gallego | Nurse Practitioner | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2012-09-24 |
| 1285996611 | Joy Amanda Dugan | Physician Assistant | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2012-06-12 |
| 1962797886 | Bronwyn Sing | Family Medicine | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2011-06-20 |
| 1730310236 | County of Solano | Clinic/Center | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2009-07-31 |
| 1003070541 | Christine Danielle Gorey | Obstetrics & Gynecology | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2008-07-14 |
| 1235392382 | Victor Alexander Nuno | Neuromusculoskeletal Medicine & OMM | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2008-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194034710 | Paul Robert Hansen | Pharmacist | 1310 Johnson Lane, Mare Island, Vallejo, CA 94592 | 2010-09-30 |
| 1831320977 | Jae Ki Chang | Pharmacist | 211 Pueblo Way, Vallejo, CA 94591-8220 | 2009-08-06 |
| 1578051082 | Liuqing Yang | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2018-04-30 |
| 1033586151 | Hieu Minh Phan | Pharmacist | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2015-08-24 |
| 1578964136 | Amanda Que-anh La | Pharmacist | 525 Oregon St, Vallejo, CA 94590-3201 | 2014-09-12 |
| 1891041901 | Jelyn Evangelista | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2012-07-25 |
| 1134455041 | Rebecca Fullarton | Pharmacist | 975 Sereno Dr, Department of Pharmacy, Ambulatory Care, Vallejo, CA 94589-2441 | 2009-10-27 |
| 1649431362 | Sharlene Gayle Dwinell | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CLIPPER YOUNG.
| 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.