Richard M C Young (NPI# 1679700744, PAC ID# 9436446564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
Nation Provider ID (NPI) | 1679700744 |
PAC ID by PECOS | 9436446564 |
Professional Enrollment ID | I20160916002269 |
Full Name | Richard M C Young |
Organization Legal Name | SCOTT C LEDERHAUS MD AND LEW B DISNEY MD PRT LEDERHAUS SCOTT C GEN PTR |
Address |
255 E Bonita Ave Bldg 9 Pomona CA 91767-1923 |
Phone Number | 9094500369 |
Gender | M |
Medical School | NEW YORK MEDICAL COLLEGE |
Graduation Year | 2009 |
Primary Specialty | INTERVENTIONAL RADIOLOGY |
Secondary Specialties | NEUROSURGERY |
Group Practice PAC ID | 2961445267 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050382 | CITRUS VALLEY MEDICAL CENTER-IC CAMPUS |
050231 | POMONA VALLEY HOSPITAL MEDICAL CENTER |
050099 | SAN ANTONIO REGIONAL HOSPITAL |
050238 | METHODIST HOSPITAL OF SOUTHERN CA |
050597 | FOOTHILL PRESBYTERIAN HOSPITAL |
Address | Phone | Organization |
---|---|---|
255 E Bonita Ave, Bldg 9, Pomona, CA 91767-1923 | 9094500369 | SCOTT C LEDERHAUS MD AND LEW B DISNEY MD PRT LEDERHAUS SCOTT C GEN PTR |
Organization Legal Name | SCOTT C LEDERHAUS MD AND LEW B DISNEY MD PRT LEDERHAUS SCOTT C GEN PTR |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Aaron R Cutler | General Surgery | Scott C Lederhaus Md and Lew B Disney Md Prt Lederhaus Scott C Gen Ptr | 1015 N 1st Ave, Arcadia, CA 91006-7401 |
Alexandria I Arias | Physician Assistant | Scott C Lederhaus Md and Lew B Disney Md Prt Lederhaus Scott C Gen Ptr | 910 E Alosta Ave, Azusa, CA 91702-2709 |
Lew B Disney | General Practice | Scott C Lederhaus Md and Lew B Disney Md Prt Lederhaus Scott C Gen Ptr | 255 E Bonita Ave, Bldg 9, Pomona, CA 91767-1923 |
Jose L Rodriguez | Neurosurgery | Scott C Lederhaus Md and Lew B Disney Md Prt Lederhaus Scott C Gen Ptr | 1015 N 1st Ave, Arcadia, CA 91006-7401 |
Ramin Amirnovin | Neurosurgery | Scott C Lederhaus Md and Lew B Disney Md Prt Lederhaus Scott C Gen Ptr | 1015 N 1st Ave, Arcadia, CA 91006-7401 |
Siraj M Gibani | Neurosurgery | Scott C Lederhaus Md and Lew B Disney Md Prt Lederhaus Scott C Gen Ptr | 255 E Bonita Ave, Bldg 9, Pomona, CA 91767-1923 |
Street Address |
255 E BONITA AVE BLDG 9 |
City | POMONA |
State | CA |
Zip | 91767-1923 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alan C Tang | Anesthesiology | Allied Anesthesia Medical Group Inc | 255 E Bonita Ave, Suite 3b, Pomona, CA 91767-1923 |
Kerry N Gott | Infectious Disease | 255 E Bonita Ave, Pomona, CA 91767-1923 | |
Michael Chai | Internal Medicine | 255 E Bonita Ave, Pomona, CA 91767-1923 | |
Lew B Disney | General Practice | Scott C Lederhaus Md and Lew B Disney Md Prt Lederhaus Scott C Gen Ptr | 255 E Bonita Ave, Bldg 9, Pomona, CA 91767-1923 |
Jeremy J Neuner | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
Abid A Rizvi | Undefined Physician Type (specify) | 255 E Bonita Ave, Bldg 1 Suite 201, Pomona, CA 91767-1923 | |
Elizabeth A Cano | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
Christopher Ruiz | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
George J Cheng | Anesthesiology | Allied Anesthesia Medical Group Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
Katrina Keil | Psychologist, Clinical | Colina Medical Associates, Inc. | 255 E Bonita Ave, Pomona, CA 91767-1923 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
James Barr | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 775 E Foothill Blvd, Pomona, CA 91767-1223 |
Warren Gabrillo | Family Medicine | 219 E Foothill Blvd, Pomona, CA 91767-1403 | |
Richard Veirs | Chiropractic | 355 E Foothill Blvd, Suite B, Pomona, CA 91767-1471 | |
Jia Mao | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Wayne E Houpt Jr. | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Jennifer Lee | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Forrest Doan | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Seeyam Teimoori Nobandegani | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Susan M Bishop | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Patricia F Wallace-burke | Clinical Psychologist | Tricity Mental Health Center | 2008 N Garey Ave, Pomona, CA 91767-1639 |
Find all physicians in zip 91767 |
City | POMONA |
Zip Code | 91767 |
Specialty | INTERVENTIONAL RADIOLOGY |
City + Specialty | POMONA + INTERVENTIONAL RADIOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.