Individual provider Active NPI

Antoine Vernell Taylor Sr., NP

  • Family Nurse Practitioner
  • Inglewood, CA
National Provider Identifier
1205391356
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010879 Issued in CA
Practice address
4701 W Imperial Hwy
Inglewood, CA 90304-2630
Phone
(310) 910-0660
Fax
(424) 512-0206
NPI assigned
Feb 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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 95010879 CA Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 95010879 CA

Addresses

Primary practice location

4701 W Imperial Hwy
Inglewood, CA 90304-2630

Mailing address

4701 W Imperial Hwy
Inglewood, CA 90304-2630
Phone (310) 910-0660

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
I20191121001815 CA Practitioner - Nurse Practitioner 8224460787 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Im-FSR IncGroup PAC ID 6901035138, 28 clinicians

Practice addresses (Care Compare)

2600 S Main St
Corona, CA 92882-5941
Phone (951) 736-4700

2701 S Bristol St
Santa Ana, CA 92704-6201
Phone (714) 754-5454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95010879CAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Im-FSR Inc. CurrentSince Jun 1, 2025 Accepting new patients
Michael S. Agron, M.D., Inc. CurrentSince Sep 6, 2020 Accepting new patients
Hospitalist Group of Montebello Inc CurrentSince May 1, 2023 Accepting new patients
Lompoc Hospitalist Group PC CurrentSince Jun 5, 2023 Accepting new patients
East Valley Emergency Medical Associates, Inc CurrentSince Sep 24, 2019 Accepting new patients
Victory Emergency Physicians Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Iecoc Family Clinic Inc Current Accepting new patients
A Extensive Care Service, PC CurrentSince Sep 21, 2025 Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

4701 W Imperial Hwy
Inglewood, CA 90304
Phone (310) 910-0660

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Interoperability endpoints

  • Direct secure messaging: antoine.taylorsr.p1@direct.cdsdp.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: antoine.taylor.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 9

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1205391356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 W IMPERIAL HWY",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903042630",
            "telephone_number": "310-910-0660",
            "fax_number": "424-512-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W IMPERIAL HWY",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903042630",
            "telephone_number": "310-910-0660",
            "fax_number": "424-512-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANTOINE",
        "middle_name": "VERNELL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010879",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "95010879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.