Active NPI
Brian Taylor, PA
- Physician Assistant
- Fresno, CA
National Provider Identifier
1043846017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 7766 N Palm Ave Ste 107
Fresno, CA 93711-5734 - Phone
- (559) 435-0800
- Fax
- (559) 435-7720
- NPI assigned
- Mar 20, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CA | Primary |
Addresses
Primary practice location
7766 N Palm Ave Ste 107
Fresno, CA 93711-5734
Mailing address
7766 N Palm Ave Ste 107
Fresno, CA 93711-5734
Phone (559) 435-0800
Other practice location 1
88 S Garfield Ave Unit 451
Alhambra, CA 91801-6846
Phone (559) 801-7473
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220215001191 | CA | Practitioner - Physician Assistant | 0840683876 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dwight W Sievert MD Inc
Practice addresses (Care Compare)
7766 N Palm Ave
Suite 107
Fresno, CA 93711-5708
Phone (559) 435-0800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58203 | CA | MD | Dentist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602374400000",
"number": "1043846017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7766 N PALM AVE STE 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115734",
"telephone_number": "559-435-0800",
"fax_number": "559-435-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7766 N PALM AVE STE 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115734",
"telephone_number": "559-435-0800",
"fax_number": "559-435-7720"
}
],
"practiceLocations": [
{
"address_1": "88 S Garfield Ave Unit 451",
"address_purpose": "LOCATION",
"city": "Alhambra",
"state": "CA",
"postal_code": "918016846",
"country_code": "US",
"telephone_number": "559-801-7473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "BRIAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-20",
"last_updated": "2020-10-11",
"certification_date": "2020-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.