Individual provider Active NPI

Taylor Semrad, FNP-BC

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1144770801
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005044 Issued in CA
Practice address
9800 Glen Center Dr
San Diego, CA 92131-1686
Phone
(858) 832-2500
Fax
(858) 400-3023
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95005044 CA Primary

Addresses

Primary practice location

9800 Glen Center Dr
San Diego, CA 92131-1686

Mailing address

PO Box 511250
Los Angeles, CA 90051-7805
Phone (510) 929-1400

Other practice location 1

2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749
Phone (323) 628-8671

Other practice location 2

1610 W Edinger Ave
Santa Ana, CA 92704-4339
Phone (714) 641-1610

Other names 1

  • Taylor Cwiertniewicz Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180419001296 CA Practitioner - Nurse Practitioner 3870856149 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95005044CAMDFamily Nurse Practitioner

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Pine Park Health, Inc Nurse Practitioner CurrentSince May 1, 2025 Accepting new patients

Locations

1901 4th St
Ste 201
Berkeley, CA 94710
Phone (469) 401-8820

11588 Via Rancho San Diego
El Cajon, CA 92019
Phone (619) 660-5718

1144 65th St
Ste F
Oakland, CA 94608
Phone (510) 919-1400

9800 Glen Center Dr
San Diego, CA 92131
Phone (858) 444-8500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tcwiertniewicz@landmarkhealth-direct.org
  • FHIR API: https://api.platform.athenahealth.com/21048/brand/1/csg/1/fhir/r4
  • Direct secure messaging: taylor.cwiertniewicz@299395540647940.direct.elationemr.com

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.

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Irvine, California College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pine Park Health, Inc 21 clinicians

Practice addresses (Care Compare)

Berkeley, CA 94710
Phone (510) 929-1400

Hospital & facility affiliations

  • A Better Solution in Home Care Home health agency, San Diego, CA, CCN 053116
  • Mission Home Health of San Diego LLC Home health agency, San Diego, CA, CCN 557711
  • Los Robles Healthcare Home health agency, Thousand Oaks, CA, CCN 058059
  • Mission Home Health of North County San Diego Home health agency, San Marcos, CA, CCN 059474

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1144770801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517805",
            "telephone_number": "510-929-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 GLEN CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311686",
            "telephone_number": "858-832-2500",
            "fax_number": "858-400-3023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Rosecrans Ave # 3230",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902454749",
            "country_code": "US",
            "telephone_number": "323-628-8671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 W Edinger Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927044339",
            "country_code": "US",
            "telephone_number": "714-641-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMRAD",
        "first_name": "TAYLOR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "CWIERTNIEWICZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.