YEONSOO JULIE YOUNG PA-C
NPI 1649813239
Physician Assistant in Riverside, CA

Active since October 25, 2019PECOS Enrolled
5885 BROCKTON AVE, RIVERSIDE, CA 92506(800) 270-5016 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Oct 29, 2020, Aug 11, 2020 and 1 more (4 updates tracked since 2019).

About Yeonsoo Julie Young Pa-c NPPES

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

YEONSOO JULIE YOUNG PA-C (NPI 1649813239) is an individual physician assistant in Riverside, California, licensed in California (58309) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649813239
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameYEONSOO JULIE YOUNGCredential: PA-C
Location Address5885 BROCKTON AVERiverside, CA 92506-1863
Mailing Address15025 Hunters Gate CirChino Hills, CA 91709-6218 · (714) 673-1290
Sole ProprietorYes
Enumeration DateOctober 25, 2019
Last NPPES UpdateFebruary 13, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
NPI 1649813239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 58309
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5885 BROCKTON AVE, Riverside, CA 92506

Other Names 1

Former Name (1)Yeonsoo Julie Lee Pa-c

Secondary Practice Locations 2

Location 1234 E Badillo StCovina, CA 91723-2115 · Phone (626) 915-9992 · Fax (626) 915-6108
Location 215025 Hunters Gate CirChino Hills, CA 91709-6218 · Phone (714) 673-1290

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yeonsoo Julie Young Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Physical Medicine & Rehabilitation
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Nurse Practitioner (Family)
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Physician Assistant
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Physical Medicine & Rehabilitation
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Nurse Practitioner (Family)
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Physician Assistant
5885 BROCKTON AVE
RIVERSIDE, CA 92506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yeonsoo Young's NPI number?

The NPI number for Yeonsoo Young is 1649813239. It was assigned to this individual provider in the NPPES registry on October 25, 2019. The provider is also known as Yeonsoo Julie Lee Pa-C.

Where is Yeonsoo Young located?

Yeonsoo Young practices at 5885 Brockton Ave, Riverside, CA 92506. The listed phone number is (800) 270-5016.

What is Yeonsoo Young's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Yeonsoo Young enrolled in Medicare?

Yes. Yeonsoo Young is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yeonsoo Young was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.