NICOLE KALEEN YOUNG (NPI# 1760912117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760912117 |
| Entity Type | Individual |
| Full Name | NICOLE KALEEN YOUNG |
| Credential | PA-C |
| Practice Address |
100 Hospital Dr Ste 303 Vallejo CA 94589-2583 |
| Mailing Address |
199 Polaris Ct Vallejo CA 94591-6943 |
| Practice Telephone | 7076457210 |
| Mailing Telephone | 7073342615 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2019-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 54665 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2755 Herndon Ave, Clovis, CA 936116800 | 5593244000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386207090 | Nicole Young | Registered Nurse | 2711 Abbott Cir, Yankton, SD 57078-5330 | 2019-04-18 |
| 1093227480 | Nicole Virgieann Young | Non-emergency Medical Transport (VAN) | 13305 Garden State Dr Apt B, Newport News, VA 23602-5712 | 2017-10-25 |
| 1831551118 | Nicole Young | Counselor | 3065 Heights Dr, Reno, NV 89503-3819 | 2016-03-24 |
| 1417383936 | Nicole L Young | Counselor | 13201 Northwest Fwy Ste 824, Houston, TX 77040-6008 | 2013-09-16 |
| 1740547413 | Nicole Young | Chore Provider | 12480 Orange Blvd, West Palm Beach, FL 33412-1416 | 2012-04-18 |
| 1720372253 | Nicole Scott Young | Social Worker | 339 Second St, Henderson, TN 38340-1601 | 2011-06-01 |
| 1396036471 | Nicole R Young | Developmental Therapist | 2215 Birchwood Pkwy, Woodridge, IL 60517-3514 | 2011-04-25 |
| 1770899015 | Nicole Ann Young | Midwife | 2041 Waterbury Dr, Uniontown, OH 44685-9770 | 2010-08-24 |
| 1922257708 | Nicole Alaniz Young | Respiratory Therapist, Registered | 8031 Arroyo Dr, #1, Pleasanton, CA 94588-8150 | 2008-09-16 |
| 1992991079 | Nicole Young | Psychologist | 11650 Iberia Pl Ste 130, San Diego, CA 92128-2431 | 2007-09-21 |
| Street Address |
100 HOSPITAL DR STE 303 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124086137 | Joseph Michael Centeno | Surgery | 100 Hospital Dr Ste 303, Bay Area Orthopedic Surgery and Sports Medicine, Vallejo, CA 94589 | 2006-05-02 |
| 1972908358 | Cynthia Tanner Keane | Registered Nurse | 100 Hospital Dr Ste 303, Vallejo, CA 94589-2583 | 2014-10-28 |
| 1821372871 | Amy Horan | Specialist | 100 Hospital Dr Ste 303, Vallejo, CA 94589-2583 | 2011-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055329 | Leonardo Alexander Sanchez Espinoza | Physician Assistant | 440 Carlson St, Vallejo, CA 94590-7320 | 2020-08-28 |
| 1922641521 | Stephanie Ray | Physician Assistant | 1900 Ascot Pkwy Apt 1413, Vallejo, CA 94591-8337 | 2019-10-26 |
| 1982249314 | Tramanh Bui | Physician Assistant | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-11-08 |
| 1013550698 | Brittany Nichole Hart | Physician Assistant | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-10-25 |
| 1346891017 | Geni Garcia | Physician Assistant | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-09-24 |
| 1427612910 | Heather Wright | Physician Assistant | 220 Hospital Dr, Vallejo, CA 94589-2517 | 2019-04-30 |
| 1710490149 | Jason J Ricci | Physician Assistant | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2017-11-07 |
| 1285184242 | Mereb Habtetsion | Physician Assistant | 243 Georgia St Ste B, Vallejo, CA 94590-5905 | 2016-10-13 |
| 1639546914 | Monica A. Muzzin | Physician Assistant | 100 Hospital Dr, Vallejo, CA 94589-2580 | 2015-08-21 |
| 1669885539 | Kelley Lynn Rodolff | Physician Assistant | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2014-06-08 |
| Find all providers in VALLEJO | ||||
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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.