Clarence L. Taylor, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

803448 Issued in CA

Practice address

101 Rowland Way Ste 220
Novato, CA 94945-5056

Phone

(415) 878-7200

Fax

(415) 369-1387

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ctaylor537000@hisp.ehr.sutterhealth.org

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.

• Northeast Ohio Neighborhood Health Services, Inc.

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1952417891
  NPD
• Santa Barbara Neighborhood Clinics

  dba Isla Vista Neighborhood Clinic

  • Federally Qualified Health Center (FQHC)
  • Isla Vista, CA
  • NPI 1942487848
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1265456586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-878-7200",
            "fax_number": "415-369-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROWLAND WAY STE 220",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455056",
            "telephone_number": "415-878-7200",
            "fax_number": "415-369-1387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Hough Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441034247",
            "country_code": "US",
            "telephone_number": "216-231-7700",
            "fax_number": "216-231-7920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CLARENCE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "803448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "C55454",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0611387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tania Mantua & Matt H Siu OD a Professional Corporation (EyeWish Optometry)
• Toni Tarpening
• Lauren Ann Tarrant, SP
• Tasker and Rowan Dental Corporation of Land Park (Novato Pediatric Dentistry)
• Tasker and Rowan Dental Corporation of Marin (Marin Pediatric Dental Surgical Services)
• Lisa M Taylor
• Taylored Shoes
• Laurel Te Velde
• Isaac Teckie
• Richard Franklin Teel, D.C.

• Internal Medicine Physician in Novato, CA
• Providers in Novato, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.

Verify at the official NPI Registry.