Organization Active NPI

Derek a Taggard MD a Prof Corp

  • Neurological Surgery Physician
  • Sacramento, CA
National Provider Identifier
1275927014
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A80229 Issued in CA
Legal business name
DEREK A TAGGARD MD A PROF CORP
Practice address
2801 K St
Suite 410
Sacramento, CA 95816-5120
Phone
(916) 733-8247
Fax
(916) 781-2001
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Derek Taggard, MD
Title
MD/Owner
Phone
(916) 733-8247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X A80229 CA Primary

Addresses

Primary practice location

2801 K St
Suite 410
Sacramento, CA 95816-5120

Mailing address

2801 K St
Suite 410
Sacramento, CA 95816-5120
Phone (916) 733-8247

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1275927014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 K ST",
            "address_2": "SUITE 410",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165120",
            "telephone_number": "916-733-8247",
            "fax_number": "916-781-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 K ST",
            "address_2": "SUITE 410",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165120",
            "telephone_number": "916-733-8247",
            "fax_number": "916-781-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK A TAGGARD MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "TAGGARD",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "916-733-8247",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A80229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.