Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thomas P Young III, PHD, NP

Individual provider Adult Health Nurse Practitioner · NPI 1689797029

Thomas P Young III, PHD, NP is a Nurse Practitioner in Santa Rosa, California. Qualified in 1995, 31 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

830 2nd St Ste A
Santa Rosa, CA 95404-4620
Phone: (415) 895-1441
Fax: (415) 895-1288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 7662 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 349096 (CA)

Record details

NPI number1689797029
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , NP
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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