Individual provider Active NPI

Carol Peckham Taylor, APRN

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1235324062
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6299 Issued in CA
Practice address
954 N Vermont Ave
Los Angeles, CA 90029-3529
Phone
(866) 733-5924
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2120 AZ
Advanced Practice Midwife 367A00000X 670 CA
Family Nurse Practitioner 363LF0000X 6299 CA Primary

Addresses

Primary practice location

954 N Vermont Ave
Los Angeles, CA 90029-3529

Mailing address

13421 Iowa St
Westminster, CA 92683-2618
Phone (714) 943-5697

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
I20180712003526 CA Practitioner - Nurse Practitioner 5991747552 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6299CAMDSpeech-Language Assistant
2120AZMDFamily Nurse Practitioner
670CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Family Health Center Current Accepting new patients
UC Irvine Health Cancer Center, Newport Pacific Medical Center CurrentSince Jun 1, 2018 Accepting new patients
South Central Family Health Center CurrentSince Mar 10, 2024 Accepting new patients
University of California Irvine Current Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Jan 25, 2021 Accepting new patients
Performance Health Medical Group, Inc CurrentSince Jan 2, 2022 Accepting new patients
South Central Family Health Center CurrentSince Mar 10, 2024 Accepting new patients
University of California Irvine CurrentSince Jun 1, 2018 Accepting new patients
Regents of the University of CurrentSince Jun 1, 2018 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Jan 25, 2021 Accepting new patients
Applied Health Services Incorporated PastSince Jan 1, 1990 Accepting new patients
Greater Phoenix Collaborative Care PC Past Accepting new patients
University of California Irvine Past Accepting new patients
Arizona Medical Services, PC PastSince Apr 28, 2005 Accepting new patients

Locations

7300 Santa Fe Ave
Huntington Pk, CA 90255
Phone (323) 277-8900

25431 Cabot Rd
Ste 118
Laguna Hills, CA 92653
Phone (949) 362-8877

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

4425 S Central Ave
Los Angeles, CA 90011

3410 Hooper Ave
Los Angeles, CA 90011

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

5831 Firestone Blvd
Ste E
South Gate, CA 90280
Phone (562) 600-4471

Interoperability endpoints

  • Direct secure messaging: carol.taylor.p1@direct.scfhc.nextgenshare.com
  • Direct secure messaging: carol.taylor.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1235324062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 IOWA ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926832618",
            "telephone_number": "714-943-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293529",
            "telephone_number": "866-733-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CAROL",
        "middle_name": "PECKHAM",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "2120",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "670",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "6299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.