ANDREW J YOUNG (NPI# 1548431117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548431117 |
| Entity Type | Individual |
| Full Name | ANDREW J YOUNG |
| Credential | DDS |
| Practice Address |
255 North Wilson St Suite D Nipomo CA 93444 |
| Mailing Address |
Po Box 309 Nipomo CA 93444-0309 |
| Practice Telephone | 6696009707 |
| Mailing Telephone | 8059293219 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
49578 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910143 | Andrew Young | Student in an Organized Health Care Education/Training Program | 1417 Harding Ave, Edmond, OK 73013-6365 | 2020-07-24 |
| 1689291320 | Andrew Young | Technician | 9980 N Hacienda Hermosa Dr, Tucson, AZ 85737-3645 | 2020-06-29 |
| 1609364033 | Andrew Mark Kavi Young | Registered Nurse | 65177 210th St, Elkton, MN 55933 | 2018-05-01 |
| 1417359191 | Andrew Sing Young | Dentist | 8055 W Manchester Ave Ste 204, Playa Del Rey, CA 90293-7962 | 2014-09-24 |
| 1336415934 | Andrew Teller Young | Anesthesiology | 757 Westwood Plz # 7icu, Los Angeles, CA 90095-8358 | 2012-03-28 |
| 1093092397 | Andrew Scott Young | Physical Therapy Assistant | 1383 Stacy Dr, Canton, MI 48188-1441 | 2011-11-15 |
| 1619256138 | Andrew Fray Young | Rehabilitation Practitioner | 9508 Chanticleer Ct, Las Vegas, NV 89129-7858 | 2011-08-15 |
| 1285968206 | Andrew Young | Dentist | 9119 130th Ave Ne, Kirkland, WA 98033-5923 | 2009-09-23 |
| 1659310738 | Andrew Ginn Bong Young | Ophthalmology | 1 Hoppin St Ste 202, Providence, RI 02903-4141 | 2006-06-05 |
| 1447851654 | Andrew Young | Licensed Practical Nurse | 2994 Kildaire Farm Rd, Cary, NC 27518-9614 | 2020-11-04 |
| Street Address |
255 NORTH WILSON ST SUITE D |
| City | NIPOMO |
| State | CA |
| Zip Code | 93444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
| 1679109995 | Community Health Clinical Laboratory LLC | Clinical Medical Laboratory | 150 Tejas Place, Bldg. B Suite A, Nipomo, CA 93444 | 2020-03-18 |
| 1134500770 | Dena Lou Smith | Surgery | 615 Black Ridge Lane, Nipomo, CA 93444 | 2015-06-09 |
| 1487070637 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1151 La Loma Drive, Nipomo, CA 93444 | 2014-03-12 |
| 1619393220 | Anka Behavioral Health Inc. | Community/Behavioral Health | 340 Pablo Ln, Nipomo, CA 93444 | 2014-03-07 |
| 1417382052 | Hannah Song Evans | Counselor | 117 E. Knotts St., Nipomo, CA 93444 | 2013-09-12 |
| 1457615817 | Haylie Jenna Pennachio | Counselor | 508 Angelina Court, Nipomo, CA 93444 | 2012-06-30 |
| 1144513557 | Owen Charles Martin | Counselor | 860 Camino Caballo, Nipomo, CA 93444 | 2011-05-18 |
| 1124273701 | Tanya Susan Mccaffrey | Specialist | 255 North Willson, Suite C, Nipomo, CA 93444 | 2008-11-24 |
| 1649345240 | Tonya Sue Willett | Marriage & Family Therapist | 151 W. Dana St Ste 201, Nipomo, CA 93444 | 2006-11-21 |
| Find all providers in zip 93444 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669553665 | Brooks Burnsed | Dentist | 255 North Wilson Ave, Suite D, Nipomo, CA 93444 | 2006-10-17 |
| 1356662969 | Julia Marlys Lerch | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2010-06-17 |
| 1801123526 | Robyn Song Flores | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2009-11-17 |
| 1629191655 | Mark Christopher Interian | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2007-04-06 |
| 1942229638 | Kent D Cope | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2006-07-19 |
| 1235157405 | Joseph Rocco Mercardante Jr. | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2006-07-17 |
| 1437184918 | Donald A Palus | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2006-07-12 |
| 1629002670 | Kelvin Zia | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
| 1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| 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.