LISA M. YOUNG (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1043368053

LISA M. YOUNG (MD) is a healthcare provider. based in Torrance, California. specializing in Geriatric Medicine (Family Medicine) Physician. They hold the professional credentials MD. They hold a License No. A84751 (CA). The NPI Number for LISA M. YOUNG (MD) is 1043368053

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
LISA M. YOUNG (MD)
NPI
1043368053
Phone
(310) 784-8770
Address
3330 LOMITA BLVD
Enumeration Date
8 January 2007
Last Update Date
17 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
3103160811
Graduation Year
2002 (24 years ago)
PAC ID
9931285665
Group Practice PAC ID
7315842002
Professional Enrollment ID
I20080320000668
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for LISA M. YOUNG (MD)

  • 3330 LOMITA BLVD

    TORRANCE, CA 905055002

    Phone: (310) 784-8770

    Type: Mailing

  • Vermont Avenue, South Los Angeles, Harbor Gateway, Los Angeles, Los Angeles County, California, 90047-4899, United States

    HARBOR CITY, CA 907103518

    Phone: (310) 325-5111

    Type: Mailing

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080320000668IGeriatric MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90505)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315842002View full group profile
NameSpecialtyState
Internal MedicineCA
-CA
-CA
Family PracticeCA
-CA
-CA
Physical Therapist In Private PracticeNV
Internal MedicineCA
-CA
Internal Medicine, Geriatric MedicineCA

Reviews

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Frequently asked questions

How is LISA M. YOUNG (MD) identified in CMS data?
CMS-hosted NPPES data lists LISA M. YOUNG (MD) with NPI 1043368053.
Does CMS list LISA M. YOUNG (MD) as active?
Yes — LISA M. YOUNG (MD) is active in the NPI listing used on this page.
What taxonomy line describes LISA M. YOUNG (MD)?
For research purposes, treat LISA M. YOUNG (MD) as Geriatric Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is LISA M. YOUNG (MD) based?
LISA M. YOUNG (MD) is tied to Torrance, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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