CLARENCE DALE YOUNG (NPI# 1649261371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649261371 |
| Entity Type | Individual |
| Full Name | CLARENCE DALE YOUNG |
| Credential | MD |
| Practice Address |
170 Alameda De Las Pulgas Redwood City CA 94062-2751 |
| Mailing Address |
4301 Northstar Way Modesto CA 95356-9262 |
| Practice Telephone | 2093422300 |
| Practice Fax Number | 2095244240 |
| Mailing Telephone | 2093422300 |
| Mailing Fax Number | 2095244240 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2008-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A68208 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A682080 | 01 |
| CA | 00A682080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649815119 | Clarence A Young | Counselor | 3009 Burnet Ave, Cincinnati, OH 45219-2419 | 2019-11-08 |
| 1871776484 | Clarence Young | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504 | 2007-12-06 |
| 1144373259 | Clarence K.m. Young | Dentist | 1150 S King St, Suite 503, Honolulu, HI 96814-1922 | 2007-01-19 |
| Street Address |
170 ALAMEDA DE LAS PULGAS |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94062-2751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910777 | Melissa Susann Lim | Specialist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2005-05-24 |
| 1972113397 | Jason James Kalaw | Perfusionist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2020-08-01 |
| 1891353132 | Prajoel Karki | Pharmacist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2019-06-02 |
| 1174000533 | Vituity Hospitalists PC | Internal Medicine | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2018-07-27 |
| 1629585583 | Ari Auwinitzky | Perfusionist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2018-01-02 |
| 1013445675 | Clifton James Marschel | Perfusionist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2017-05-26 |
| 1154856227 | Jessica Shu Wen Cheung | Nurse Practitioner | 170 Alameda De Las Pulgas, Redwood City, CA 94062 | 2017-04-26 |
| 1609312271 | Susan Daines | Occupational Therapist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2017-01-06 |
| 1801281795 | Sarah Abuseif | Internal Medicine | 170 Alameda De Las Pulgas, Redwood City, CA 94062 | 2015-03-30 |
| 1205172053 | Gretchen Denike Irion | Pharmacist | 170 Alameda De Las Pulgas, Pharmacy Department, Redwood City, CA 94062-2751 | 2012-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1396041208 | Arch Street Medical Associates | General Practice | 143 Birch Street, Redwood City, CA 94062 | 2011-02-10 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| Find all providers in zip 94062 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568440881 | Young Md and Boohar Md Inc | Radiology | 170 Alameda De Las Pulgas, Sequoia Hospital Radiation Oncology Dept, Redwood City, CA 94062 | 2006-01-06 |
| 1669458014 | C Jane Breeden Marmor | Radiology | 170 Alameda De Las Pulgas, Dept of Radiation Oncology Sequoia Hospital, Redwood City, CA 94062-2799 | 2005-12-19 |
| 1063403707 | Lisa Kristen Boohar | Radiology | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94062 |
Please comment or provide details below to improve the information on CLARENCE DALE YOUNG.
| 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.