Active NPI
Danette Taylor, MD
- Family Medicine Physician
- Manhattan Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A67159
- Practice address
- 855 Manhattan Beach Blvd
Suite 102
Manhattan Beach, CA 90266-4965 - Phone
- (310) 939-7858
- Fax
- (310) 939-7842
- NPI assigned
- May 16, 2006
- Last updated
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A67159 | CA | Primary |
Addresses
Primary practice location
855 Manhattan Beach Blvd
Suite 102
Manhattan Beach, CA 90266-4965
Mailing address
3105 Lomita Blvd
Torrance, CA 90505-5108
Phone (310) 784-4926
Other practice location 1
831 Via Suerte Ste 102
San Clemente, CA 92673-6531
Phone (949) 364-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A671590 | Other | BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dtaylor405541@oc.providencedirect.org |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Temple University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533
31951 Dove Canyon Dr
Suite a
Trabuco Canyon, CA 92679-3725
Phone (949) 557-0880
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 84.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Clinic | Current | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Torrance Memorial Medical Center | Past | Accepting new patients | |
| Providence Health System Southern California | Past | Accepting new patients |
Locations
26672 Portola Pkwy
Ste 104
Foothill Ranch, CA 92610
Phone (949) 557-0748
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
Interoperability endpoints
- dtaylor405541@oc.providencedirect.org
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
dba Providence Little Company of Mary Medical Center Torrance
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport Beach, CA
- NPI 1174192892
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1245282557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 LOMITA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055108",
"telephone_number": "310-784-4926",
"fax_number": "310-891-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MANHATTAN BEACH BLVD",
"address_2": "SUITE 102",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902664965",
"telephone_number": "310-939-7858",
"fax_number": "310-939-7842"
}
],
"practiceLocations": [
{
"address_1": "831 Via Suerte Ste 102",
"address_purpose": "LOCATION",
"city": "San Clemente",
"state": "CA",
"postal_code": "926736531",
"country_code": "US",
"telephone_number": "949-364-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "DANETTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A67159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A671590",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dtaylor405541@oc.providencedirect.org",
"affiliation": "N",
"address_1": "831 Via Suerte Ste 102",
"city": "San Clemente",
"state": "CA",
"country_code": "US",
"postal_code": "926736531",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.