TRACI YOUNG (NPI# 1720254493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720254493 |
| Entity Type | Individual |
| Full Name | TRACI YOUNG |
| Credential | N.P. |
| Practice Address |
1500 East Duarte Rd Duarte CA 91010-3000 |
| Practice Telephone | 6262564673 |
| Mailing Telephone | 6262564673 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 12935 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
12935 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942519244 | Traci Denise Young | Adult Companion | 6475 Ruidoso Dr, Saginaw, MI 48603-4803 | 2010-10-04 |
| Street Address |
1500 EAST DUARTE RD |
| City | DUARTE |
| State | CA |
| Zip Code | 91010-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073664660 | Yuan Yuan | Internal Medicine | 1500 East Duarte Rd, City of Hope National Cancer Center, Duarte, CA 91010 | 2007-01-12 |
| 1790036994 | Victoria F. Ku | Nurse Practitioner | 1500 East Duarte Rd, Mod 90-56, Duarte, CA 91010-3000 | 2012-09-27 |
| 1821347030 | Clifford Ugalde Felarca | Nurse Practitioner | 1500 East Duarte Rd, Hematology Department, Duarte, CA 91010 | 2012-09-04 |
| 1013140219 | Erica H Chin | Nurse Practitioner | 1500 East Duarte Rd, Duarte, CA 91010-3000 | 2009-09-03 |
| 1811153893 | Laleh Golkar Melstrom | Surgery | 1500 East Duarte Rd, Duarte, CA 91010-3012 | 2008-07-30 |
| 1831385251 | Christina Ann Pierce | Nurse Practitioner | 1500 East Duarte Rd, Duarte, CA 91010-3000 | 2007-09-19 |
| 1285825414 | Tomoko Tagawa | Internal Medicine | 1500 East Duarte Rd, Duarte, CA 91010 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245777663 | Christien Jeyasingh | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2017-01-24 |
| 1013468149 | Jason Batalha | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2016-10-24 |
| 1881142891 | Paul Richard Boy | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2016-09-19 |
| 1548689649 | Jennifer Sarah Baecker | Nurse Practitioner | 1500 E Duarte Rd, Duarte, CA 91010 | 2014-04-16 |
| 1871834671 | Angela Yip | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2013-03-05 |
| 1063752772 | Chen Chi Hau | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2013-02-18 |
| 1205105806 | Carey Ramirez | Nurse Practitioner | 1500 E Duarte Road, Duarte, CA 91010-3012 | 2011-12-28 |
| 1235438540 | Matilda Alickolli | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2011-03-25 |
| 1265732507 | Joyce Chowsanitphon | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2010-11-02 |
| 1861702110 | Shannon Marisa Bell | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2010-10-19 |
| Find all providers in DUARTE | ||||
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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.