Healthcare Provider Details

I. General information

NPI: 1194067181
Provider Name (Legal Business Name): EMILY KATHERINE YOUNG PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2013
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N ROSE AVE STE 320
OXNARD CA
93030-7648
US

IV. Provider business mailing address

1700 N ROSE AVE STE 320
OXNARD CA
93030-7648
US

V. Phone/Fax

Practice location:
  • Phone: 805-485-8709
  • Fax: 805-485-5521
Mailing address:
  • Phone: 805-485-8709
  • Fax: 805-485-5521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA22755
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA22755
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: