Active NPI
Lindsay Shawne Taylor, PA-C
- Physician Assistant
- Carson, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 54959
- Practice address
- 522 W Carson St
Carson, CA 90745-2635 - Phone
- (310) 320-3400
- NPI assigned
- Apr 25, 2017
- Last updated
- Jun 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CA | ||
| Physician Assistant | 363A00000X | 54959 | CA | Primary |
Addresses
Primary practice location
522 W Carson St
Carson, CA 90745-2635
Mailing address
PO Box 12290
Costa Mesa, CA 92627-8186
Other practice location 1
400 N Pepper Ave Ste 107
Colton, CA 92324
Phone (909) 580-2178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54959 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| United Urgent Care and Wellness Center, Inc. | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients |
Locations
522 W Carson St
Carson, CA 90745
Phone (310) 320-3400
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
400 N Pepper Ave
Ste 107
Colton, CA 92324
Phone (909) 580-1862
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Urgent Care Clinic/Center
- Carson, CA
- NPI 1275948994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1104351469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12290",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926278186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W CARSON ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907452635",
"telephone_number": "310-320-3400"
}
],
"practiceLocations": [
{
"address_1": "400 N Pepper Ave Ste 107",
"address_purpose": "LOCATION",
"city": "Colton",
"state": "CA",
"postal_code": "92324",
"country_code": "US",
"telephone_number": "909-580-2178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "LINDSAY",
"middle_name": "SHAWNE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "54959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.