MR. THOMAS R YOUNG (NPI# 1104998194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104998194 |
| Entity Type | Individual |
| Full Name | MR. THOMAS R YOUNG |
| Credential | MD |
| Practice Address |
5555 Reservoir Drive Suite 112 San Diego CA 92120-5195 |
| Practice Telephone | 6192877060 |
| Practice Fax Number | 6192877078 |
| Mailing Telephone | 6192877060 |
| Mailing Fax Number | 6192877078 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
G69189 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G691891 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1609083658 | Thomas Richard Young IIi | Family Medicine | 4815 N High Country Way, Star, ID 83669-5309 | 2007-05-17 |
| 1134342728 | Thomas S Young | Dentist | 3319 Mission Dr, Santa Cruz, CA 95065 | 2007-04-11 |
| 1689797029 | Thomas P Young IIi | Nurse Practitioner | 1615 Hill Rd Ste J, Novato, CA 94947-4338 | 2007-04-09 |
| 1144341835 | Thomas Charles Young | Marriage & Family Therapist | 17064 Old Downieville Highway, Nevada City, CA 95959 | 2007-04-02 |
| 1922143668 | Thomas Young | Chiropractor | 4777 City Center Pkwy, Port Orange, FL 32129-4153 | 2007-02-20 |
| 1396898185 | Thomas E Young | Dentist | 807 S W S Young Dr, Killeen, TX 76543-4801 | 2007-01-18 |
| 1821149378 | Thomas D Young | Counselor | 6935 Wisconsin Ave, Suite 304, Chevy Chase, MD 20815-6109 | 2007-01-12 |
| 1740392083 | Thomas James Young | Chiropractor | 8909 Gravelly Lake Drive Sw, Lakewood, WA 98499-3109 | 2006-08-31 |
| 1417964792 | Thomas A Young | Optometrist | 211 E Havens St, Mitchell, SD 57301-4402 | 2006-08-01 |
| Street Address |
5555 RESERVOIR DRIVE SUITE 112 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063476646 | Habib Anwar Md | Urology | 5555 Reservoir Drive, Suite 206, San Diego, CA 92120 | 2006-04-12 |
| 1801258843 | Karl Sun, M.d. Inc. | Nuclear Medicine | 5555 Reservoir Drive, Suite 112, San Diego, CA 92120 | 2016-03-28 |
| 1023296092 | Cardiology Associates Medical Group of East San Diego Inc | Internal Medicine | 5555 Reservoir Drive, Suite 209, San Diego, CA 92120 | 2008-02-01 |
| 1154503373 | Harold Copans Md Inc | Internal Medicine | 5555 Reservoir Drive, Suite 112, San Diego, CA 92120-5195 | 2007-11-29 |
| 1215058441 | Irwin Goldstein | Urology | 5555 Reservoir Drive, Suite 300, San Diego, CA 92120-5270 | 2007-04-03 |
| 1477680551 | Laurence Glenn Yellen | Internal Medicine | 5555 Reservoir Drive, Suite 209, San Diego, CA 92120-5186 | 2007-02-27 |
| 1548332539 | Richard Alan Katz | Internal Medicine | 5555 Reservoir Drive, Suite 112, San Diego, CA 92120-5195 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659665461 | Daniel C. Walters | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2011-06-09 |
| 1144535709 | Arvin Ps Narula | Internal Medicine | 3131 Berger Ave Ste 200, San Diego, CA 92123-4203 | 2010-08-06 |
| 1861623506 | Belal Outhman Al Khiami | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103 | 2009-07-29 |
| 1548440902 | Ryan Robert Reeves | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103 | 2007-11-13 |
| 1376691170 | Richard G. Osborne | Internal Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1851303044 | David Ross Ostrander | Internal Medicine | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2006-08-13 |
| 1568479392 | Shahin Keramati | Internal Medicine | 501 Washington St, Suite 512, San Diego, CA 92103-2231 | 2006-08-02 |
| 1093787889 | Jeffrey John Cavendish | Internal Medicine | 34730 Bob Wilson Dr, Cardiology, Suite 303 Naval Medical Center San Diego, San Diego, CA 92134-3098 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
| 1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
| 1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
| 1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
| 1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
| 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.