NPIMap

Individual provider Active NPI

Joan Nichole Taylor

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1053785949
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95013107 Issued in CA
Practice address
2648 International Blvd Ste 153a
Oakland, CA 94601-1580
Phone
(510) 761-7274
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013107 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95013107 CA Primary

Addresses

Primary practice location

2648 International Blvd Ste 153a
Oakland, CA 94601-1580

Mailing address

2648 International Blvd Ste 153a
Oakland, CA 94601-1580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200213002626 CA Practitioner - Nurse Practitioner 1153757976 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013107CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
County of San Mateo CurrentSince Dec 1, 2021 Accepting new patients
One Medical Group, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
County of San Mateo CurrentSince Dec 1, 2021 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
One Medical Group, Inc CurrentSince Nov 17, 2025 Accepting new patients
Premier Wellness Professional Nursing Corporation Psychiatric/Mental Health CurrentSince Oct 3, 2025 Accepting new patients
Planned Parenthood Mar Monte Inc. Current Accepting new patients
County of San Mateo CurrentSince Dec 1, 2021 Accepting new patients
WK Medical Group Psychiatric/Mental Health PastSince Aug 7, 2021 Accepting new patients
LGTC Group Psychiatric/Mental Health PastSince May 20, 2025 Accepting new patients
Los Gatos Therapy Center PastSince Apr 17, 2022 Accepting new patients

Locations

1801 Shattuck Ave
Ste A
Berkeley, CA 94709
Phone (510) 225-1025

2648 International Blvd
Ste 115
Oakland, CA 94601
Phone (510) 542-9212

2648 International Blvd
Ste 153A
Oakland, CA 94601
Phone (510) 761-7274

2907 El Camino Real
Redwood City, CA 94061
Phone (650) 235-7940

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: jtaylor19366@smch.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1053785949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 INTERNATIONAL BLVD STE 153A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 INTERNATIONAL BLVD STE 153A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011580",
            "telephone_number": "510-761-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOAN",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013107",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.