TONI ELIZABETH YOUNG-PEN PAC
NPI 1932297595
Physician Assistant in San Diego, CA

Active since October 10, 2006PECOS Enrolled
4290 POLK AVE, SAN DIEGO, CA 92105(619) 563-0507(619) 563-0015 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2024, Oct 28, 2022, Oct 18, 2017 (3 updates tracked since 2017).

About Toni Elizabeth Young-pen Pac NPPES

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

TONI ELIZABETH YOUNG-PEN PAC (NPI 1932297595) is an individual physician assistant in San Diego, California, licensed in California (PA 18746) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932297595
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTONI ELIZABETH YOUNG-PENCredential: PAC
Location Address4290 POLK AVESan Diego, CA 92105-1524
Mailing Address3329 Nutmeg StSan Diego, CA 92104-5250 · (619) 807-2524
Fax(619) 563-0015
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1932297595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · PA 18746 Licensed in WA · PA10003685
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.
4290 POLK AVE, San Diego, CA 92105

Other Identifiers 3

Other149986WA · Workers Compensation
Other8939200WA · Crime Victims
Medicaid8413932WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Toni Elizabeth Young-pen Pac 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 92105 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers21 claims40 services$6.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Nurse Practitioner
4290 POLK AVE
SAN DIEGO, CA 92105
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Physician Assistant
4290 POLK AVE
SAN DIEGO, CA 92105
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Clinic/Center (Federally Qualified Health Center (FQHC))
4290 POLK AVE
SAN DIEGO, CA 92105
Registered Nurse
4290 POLK AVE
SAN DIEGO, CA 92105
Psychologist (Clinical)
4290 POLK AVE
SAN DIEGO, CA 92105

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 Toni Young-pen's NPI number?

The NPI number for Toni Young-pen is 1932297595. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Toni Young-pen located?

Toni Young-pen practices at 4290 Polk Ave, San Diego, CA 92105. The listed phone number is (619) 563-0507.

What is Toni Young-pen's specialty?

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

Is Toni Young-pen enrolled in Medicare?

Yes. Toni Young-pen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Toni Young-pen was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.