TIMOTHY YEUNG – Emergency Medicine Physician, NPI 1629773700

TIMOTHY YEUNG is a healthcare provider. based in Loma linda, California. specializing in EMERGENCY MEDICINE. They hold a License No. A197740 (CA). The NPI Number for TIMOTHY YEUNG is 1629773700

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY YEUNG
NPI
1629773700
Phone
Not provided
Address
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C
Enumeration Date
30 March 2023
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9099852811
Graduation Year
2023 (3 years ago)
PAC ID
4981192432
Group Practice PAC ID
5092606376
Professional Enrollment ID
I20251024002982
Address ID
CA917864920UP999XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for TIMOTHY YEUNG

  • 11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C

    LOMA LINDA, CA 92354

    Phone:

    Mailing address matches the actual address.

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: 2025-10-24

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
I20251024002982IEmergency 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 92354)

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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: 5092606376View full group profile
NameSpecialtyState
Emergency MedicineCA
Emergency MedicineCA
Nurse PractitionerCA
-CA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I verify TIMOTHY YEUNG with an NPI only?
You can start verification with NPI 1629773700 for TIMOTHY YEUNG, then check state licensing separately.
Does CMS list TIMOTHY YEUNG as active?
Yes — TIMOTHY YEUNG is active in the NPI listing used on this page.
What is TIMOTHY YEUNG's primary classification?
Emergency Medicine Physician is the headline specialty for TIMOTHY YEUNG here. Clinical services aligned with this taxonomy classification.
Where is TIMOTHY YEUNG based?
TIMOTHY YEUNG is tied to Loma Linda, 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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