MISS KATHLEEN MARIE YOUNGS RPAC
NPI 1225101082
Physician Assistant - Surgical in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since November 17, 2006PECOS Enrolled

7910 FROST ST, SUITE 100, SAN DIEGO, CA 92123(858) 634-5900 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Miss Kathleen Marie Youngs Rpac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KATHLEEN MARIE YOUNGS RPAC (NPI 1225101082) is an individual surgical provider in San Diego, California, licensed in California (21492) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225101082

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMISS KATHLEEN MARIE YOUNGSCredential: RPAC

Location Address7910 FROST ST, SUITE 100San Diego, CA 92123-2771

Mailing Address7910 Frost St, Suite 100San Diego, CA 92123-2771 · (858) 634-5900

Phone(858) 634-5900

Sole ProprietorNo

Enumeration DateNovember 17, 2006

Last NPPES UpdateNovember 15, 2011

✔ NPI 1225101082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · 21492

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 010814-1 (NY)

7910 FROST ST, San Diego, CA 92123

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Kathleen Marie Youngs Rpac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.