JACY KAY YOUNG


Address: 1247 E Alluvial Ave Ste 112, Fresno, CA 93720-2686
Phone: 5592980321

JACY KAY YOUNG (NPI# 1558994129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558994129
Entity Type Individual
Full Name JACY KAY YOUNG
Credential CPO
Practice Address 1247 E Alluvial Ave Ste 112
Fresno
CA 93720-2686
Practice Telephone 5592980321
Practice Fax Number 5592987164
Mailing Telephone 5592980321
Mailing Fax Number 5592987164
Enumeration Date 2020-02-21
Last Update Date 2020-02-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 222Z00000X Orthotist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1247 E ALLUVIAL AVE STE 112
City FRESNO
State CA
Zip Code 93720-2686

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366061129 Ariel Lok Yen Leung Student in an Organized Health Care Education/Training Program 1313 East Herndon Ave, St 105, Fresno, CA 93720 2020-04-13
1457992513 Brittany Nichole Willis Audiologist 1351 E Spruce Ave Ste 130, Fresno, CA 93720 2019-09-30
1013567668 Taylor Courteney Cox Physical Therapist 7080 N. Maple Ave #101, Fresno, CA 93720 2019-09-16
1457909152 Lillian M Augilera Technician 8419 N Dearing Ave, Fresno, CA 93720 2019-08-27
1215581764 Sterling Hospitalist Medical Group, Inc. Clinic/Center 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 2019-08-01
1376006429 Nancy Minh Thao Dang Student in an Organized Health Care Education/Training Program 1313 E. Herndon Ave, St 105, Fresno, CA 93720 2019-04-06
1366904716 Shankar Nair Student in an Organized Health Care Education/Training Program 1313 E. Herndon Ave, St 105., Fresno, CA 93720 2019-04-04
1861979544 Powell Pediatric Dentistry Chestnut Partnership Dentist 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 2018-07-25
1669967311 Sierra Pacific Orthopaedic Center Medical Group Inc Specialist 1270 E. Spruce, Fresno, CA 93720 2018-06-26
1689168700 Vinita Vishnoi Student in an Organized Health Care Education/Training Program 1313 E. Herndon Ave, St 105, Fresno, CA 93720 2018-06-21
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770770752 Bradley Lucich Prosthetist 295 W Cromwell Ave Ste 102, Fresno, CA 93711-6167 2007-10-03
1437346418 Gavin T Tablada Prosthetist 7575 N Del Mar Ave Ste 101, Fresno, CA 93711-6857 2007-10-03
1750578738 Kerri Oberti-smith Prosthetist 7575 N Del Mar Ave Ste 101, Fresno, CA 93711-6857 2007-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134752942 Elizabeth Olajide Prosthetist 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 2020-02-20
1831733948 Shayla R Williams Prosthetist 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 2019-10-31
1578111290 Charmie Johnson Prosthetist 7309 University Ave Ste B, La Mesa, CA 91942-0525 2019-08-27
1790341915 Gloria Tatiana Dixon Prosthetist 32366 Evening Primrose Trl, Campo, CA 91906-3162 2019-05-13
1629633219 Duana Robinson Prosthetist 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 2019-05-08
1366908741 Alicia Lander Prosthetist 5252 Foothill Blvd, Oakland, CA 94601-5438 2019-02-11
1154895944 Keyonia K Paramore Prosthetist 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 2019-01-15
1629544499 Alexander Hetherington Prosthetist 1500 Owens St Ste 115, San Francisco, CA 94158-2338 2018-10-19
1255815155 Mary Alice Swiney Prosthetist 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 2018-09-18
1285113951 Janet Miller Prosthetist 6662 Charlene Ave, San Diego, CA 92114 2018-08-13
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Competitor

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City FRESNO
Zip Code 93720

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Dataset Information

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.

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