Healthcare Provider Details

I. General information

NPI: 1508488933
Provider Name (Legal Business Name): TRIFFINIE LOLENE YOUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 07/19/2025
Certification Date: 07/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8149 LA ALMENDRA WAY
SACRAMENTO CA
95823-5560
US

IV. Provider business mailing address

8149 LA ALMENDRA WAY
SACRAMENTO CA
95823-5560
US

V. Phone/Fax

Practice location:
  • Phone: 916-262-6927
  • Fax:
Mailing address:
  • Phone: 916-262-6927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA2038
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberTPPA987
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberPEJ341667
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: