Active NPI
Jamie Beavers Taylor, M.S., C.G.C.
- Genetic Counselor (M.S.)
- Los Angeles, CA
National Provider Identifier
1043341118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 2005278
- Practice address
- 5300 McConnell Ave
Los Angeles, CA 90066-7026 - Phone
- (800) 426-6467
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 2005278 | CA | Primary |
Addresses
Primary practice location
5300 McConnell Ave
Los Angeles, CA 90066-7026
Mailing address
1849 Prance CT
Simi Valley, CA 93065-5921
Phone (805) 522-7294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005278 | CA | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043341118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 PRANCE CT",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930655921",
"telephone_number": "805-522-7294",
"fax_number": "805-522-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 MCCONNELL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900667026",
"telephone_number": "800-426-6467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JAMIE",
"middle_name": "BEAVERS",
"name_prefix": "Prof.",
"credential": "M.S., C.G.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "CA",
"license": "2005278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.