Active NPI
Derek a Taggard MD a Prof Corp
- Neurological Surgery Physician
- Sacramento, CA
National Provider Identifier
1275927014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A80229
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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 DirectoryNPI 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.