MR. TRAVIS YOUNG (NPI# 1629349188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629349188 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS YOUNG |
| Credential | PA-C |
| Practice Address |
2185 Citracado Pkwy Escondido CA 92029 |
| Mailing Address |
2100 Powell St Ste 400 Emeryville CA 94608-1826 |
| Practice Telephone | 4422815000 |
| Mailing Telephone | 5103502600 |
| Enumeration Date | 2012-01-15 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA51750 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1450 Chapel St, New Haven, CT 065114405 | 2037893000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953327 | Travis Alexander Young | Orthotist | 7015 N Chestnut Ave Ste 103, Fresno, CA 93720-0349 | 2018-12-07 |
| 1750779039 | Travis A Young | Nurse Practitioner | 114 Northpark Dr, Brunswick, GA 31520-2184 | 2015-01-08 |
| 1013538016 | Travis James Young | Student in an Organized Health Care Education/Training Program | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-04-30 |
| 1780187401 | Travis D. Young II | Counselor | 1800 N Charles St Ste 202, Baltimore, MD 21201-5907 | 2018-03-09 |
| 1710364062 | Travis Young | Acupuncturist | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2015-05-06 |
| 1942588538 | Travis M Young | Pharmacist | 391 E Makaala St, Hilo, HI 96720-5146 | 2011-07-29 |
| Street Address |
2185 CITRACADO PKWY |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033197082 | Tariq M Dastagir | Internal Medicine | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2006-01-09 |
| 1801497284 | Kelly Rackham | Family Medicine | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2020-11-03 |
| 1770057325 | Ryan Michael Mccarthy | Physical Therapist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2019-01-16 |
| 1679055057 | Jenna Emily Gilbert | Physician Assistant | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-09-03 |
| 1669962353 | Jacinda Nim | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-05-17 |
| 1982194981 | Brandon Bailey | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-05-15 |
| 1053817304 | Tamar Lietzow | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-04-04 |
| 1710483094 | Karen Gonzales | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-04-04 |
| 1679088678 | Zachary Porter Buchanan | Physical Therapist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2017-12-12 |
| 1316456734 | Kimberly Rose Davis Md Inc Apmc | Clinic/Center | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2017-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
| Find all providers in zip 92029 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769886 | Nalani Haviland Hunsaker | Physician Assistant | 625 W. Citracado Pkwy, #112, Escondido, CA 92025 | 2017-02-14 |
| 1679874051 | Johanna Morofski | Physician Assistant | 1326 Seven Oakes Rd, Escondido, CA 92026-2306 | 2010-11-16 |
| 1841616968 | Stephen Thurston | Physician Assistant | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2014-03-13 |
| 1649692369 | Donna Baldwin | Physician Assistant | 1540 E Valley Pkwy, Escondido, CA 92027-2316 | 2014-01-15 |
| 1588959555 | Ingrid Alicia Stabinski | Physician Assistant | 225 E 2nd Ave, Escondido, CA 92025-4212 | 2011-06-17 |
| 1932415072 | Natalie Rose Higgins | Physician Assistant | 225 E 2nd Ave, Escondido, CA 92025-4212 | 2010-08-26 |
| 1730413931 | Liora Kirby | Physician Assistant | 225 East 2nd Ave, Escondido, CA 92025-4249 | 2009-09-22 |
| 1649363185 | Thao Dinh | Physician Assistant | 225 E 2nd Ave, Escondido, CA 92025-4249 | 2006-10-02 |
| 1700868791 | Sharon Robinson | Physician Assistant | 306 W El Norte Pkwy, Suite S, Escondido, CA 92026-1960 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.