Randal Trent Taylor, MSN, FNP-C, RN, EMTP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016893 Issued in CA

Practice address

100 E North St
Taft, CA 93268-3606

Phone

(661) 765-1935

NPI assigned

Mar 9, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Side Health Care DistrictGroup PAC ID 2769625540, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Emergency Medical Technician - Paramedic, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14270/brand/1/csg/1/fhir/r4
• Direct secure messaging: randal.taylor.1@14270.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Side Health Care District

  • Rural Health Clinic/Center
  • Taft, CA
  • NPI 1992142277
  Medicare reassignment Care Compare group NPD
• Grand Avenue Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1962913632
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1013502343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E NORTH ST",
            "city": "TAFT",
            "state": "CA",
            "postal_code": "932683606",
            "telephone_number": "661-765-1935",
            "fax_number": "661-765-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NORTH ST",
            "city": "TAFT",
            "state": "CA",
            "postal_code": "932683606",
            "telephone_number": "661-765-1935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 District Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933134818",
            "country_code": "US",
            "telephone_number": "661-847-9773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RANDAL",
        "middle_name": "TRENT",
        "name_prefix": "Mr.",
        "credential": "MSN, FNP-C, RN, EMTP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taft Pharmacy Corp
• Taft Pharmacy Corp
• Taft Union High School
• Bruce I. Takii, PT
• Vibul Tangpraphaphorn, M.D.
• Bisrat Tekle
• Telehealthdocs Medical Corporation
• Melissa Dawn Thompson
• Thrifty Payless Inc
• Josefina Trevino Rodriguez

• Family Nurse Practitioner in Taft, CA
• Providers in Taft, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.