| Clarence Dale Young, MD | |
|
170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | |
| (209) 342-2300 | |
| (209) 524-4240 |
| Full Name | Clarence Dale Young |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 28 Years |
| Location | 170 Alameda De Las Pulgas, Redwood City, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649261371 | NPI | - | NPPES |
| 00A682080 | Other | CA | BLUE SHIELD |
| 00A682080 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | A68208 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sequoia Hospital | Redwood city, CA | Hospital |
| Entity Name | Young Md And Boohar Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568440881 PECOS PAC ID: 0244253706 Enrollment ID: O20060110001172 |
| Mailing Address | Practice Location Address |
|---|---|
| Clarence Dale Young, MD 450 Glass Ln Ste C, Modesto, CA 95356-9287 Ph: (209) 342-2300 | Clarence Dale Young, MD 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 Ph: (209) 342-2300 |
Damon P Miller Ii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1735 E Bayshore Rd Ste 31a, Redwood City, CA 94063 Phone: 650-780-9900 | |
Deborah A. Kass, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Lisa Kristen Boohar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 170 Alameda De Las Pulgas, Redwood City, CA 94062 Phone: 209-342-2300 Fax: 209-524-4240 | |
Dr. James Jerome Zimmerman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 Whipple Ave, Suite 225, Redwood City, CA 94062 Phone: 650-366-0225 Fax: 650-367-6085 | |
Ramon Serapio Quesada Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 804 Corriente Point Dr, Redwood City, CA 94065 Phone: 650-587-0831 Fax: 818-898-4451 | |
Dr. Todd K. Osinski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1150 Veterans Blvd, Hospital Tower, 1st Floor, Redwood City, CA 94063 Phone: 415-652-0850 | |
Sherry A. Butler, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 |