1. Home
  2. Directory
  3. California
  4. San Diego
  5. Neuromusculoskeletal Medicine Omm
  6. NPI Profile

EDMOND P. YOUNG MD
NPI 1689722480
Neuromusculoskeletal Medicine & OMM in San Diego, CA

Active since January 08, 2007PECOS Enrolled
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-5000 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edmond P. Young Md NPPES

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

EDMOND P. YOUNG MD (NPI 1689722480) is an individual neuromusculoskeletal medicine & omm provider in San Diego, California, licensed in California (G72409) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689722480
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameEDMOND P. YOUNGCredential: MD
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address4647 Zion AveSan Diego, CA 92120-2507 · (619) 528-5000
Phone(619) 528-5000
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateNovember 30, 2021
✔ NPI 1689722480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in CA · G72409
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
4647 ZION AVE, San Diego, CA 92120
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edmond P. Young Md 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.

Other Providers at the Same Location NPPES 20

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

ANN MARIE PENA MD
Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DR. SHWETA WARNER M.D.
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 221-6258
DR. MATTHEW JAMES ROOSEVELT M.D.
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
San Diego County (619) 952-5091
RICHARD FUNG
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (626) 278-2749
ARDIS L TASCHNER CRNA
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
JEANNE HAGER DONAHUE LCSW
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5323
DAVID M. LEVINE MD
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DALE K. LIEU MD
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000

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 Edmond Young's NPI number?

The NPI number for Edmond Young is 1689722480. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Edmond Young located?

Edmond Young practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (619) 528-5000.

What is Edmond Young's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Edmond Young enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Edmond Young was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.