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NICOLE KALEEN YOUNG PA-C
NPI 1760912117
Physician Assistant in Vallejo, CA

Active since June 19, 2017
100 HOSPITAL DR STE 303, VALLEJO, CA 94589(707) 645-7210 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2019, Jun 19, 2017 (2 updates tracked since 2017).

About Nicole Kaleen Young Pa-c NPPES

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

NICOLE KALEEN YOUNG PA-C (NPI 1760912117) is an individual physician assistant in Vallejo, California, licensed in California (54665) and active in the NPI registry since June 2017. She maintains a secondary practice location in Clovis.

NPPES Registry Identity

NPI1760912117
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE KALEEN YOUNGCredential: PA-C
Location Address100 HOSPITAL DR STE 303Vallejo, CA 94589-2583
Mailing Address199 Polaris CtVallejo, CA 94591-6943 · (707) 334-2615
Phone(707) 645-7210
Sole ProprietorNo
Enumeration DateJune 19, 2017
Last NPPES UpdateMarch 13, 20192 updates tracked since enumeration
✔ NPI 1760912117 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 · 54665
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.
100 HOSPITAL DR STE 303, Vallejo, CA 94589
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Secondary Practice Location 1

Location 12755 Herndon AveClovis, CA 93611-6800 · Phone (559) 324-4000

Other Providers at the Same Location NPPES 4

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

JOSEPH MICHAEL CENTENO MD
Surgery
100 HOSPITAL DR STE 303, BAY AREA ORTHOPEDIC SURGERY AND SPORTS MEDICINE
VALLEJO, CA 94589
Napa County (707) 645-7210
MARIA CARMINA ENRIQUEZ SARMIENTO FNP
Nurse Practitioner (Family)
100 HOSPITAL DR STE 303
VALLEJO, CA 94589
Napa County (707) 645-7210
AMY HORAN OPA-C
Physician Assistant
100 HOSPITAL DR STE 303
VALLEJO, CA 94589
Napa County (707) 645-7210
MS. CYNTHIA TANNER KEANE RN
Registered Nurse
100 HOSPITAL DR STE 303
VALLEJO, CA 94589
Napa County (707) 645-7210

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 Nicole Young's NPI number?

The NPI number for Nicole Young is 1760912117. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Nicole Young located?

Nicole Young practices at 100 Hospital Dr Ste 303, Vallejo, CA 94589. The listed phone number is (707) 645-7210.

What is Nicole Young's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Young was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.