NPIMap

Individual provider Active NPI

Jeffrey R Taylor, M.D.

  • Pediatric Adolescent Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1295767812
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A70382 Issued in CA
Practice address
1190 W. Baker Street Ste 103
Costa Mesa, CA 92626
Phone
(714) 668-2525
Fax
(714) 668-2530
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A70382 CA
Pediatric Adolescent Medicine Physician 2080A0000X A70382 CA Primary

Addresses

Primary practice location

1190 W. Baker Street Ste 103
Costa Mesa, CA 92626

Mailing address

PO Box 2405
Suisun City, CA 94585-5405
Phone (657) 241-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffrey.taylor.p3@direct.nautilus.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A70382CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey R. Taylor, MD, Inc. Adolescent Medicine CurrentSince Jan 28, 2024 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

1190 Baker St
Ste 103
Costa Mesa, CA 92626
Phone (714) 668-2525

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1295767812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2405",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945855405",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 W. BAKER STREET STE 103",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "714-668-2525",
            "fax_number": "714-668-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70382",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A70382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.taylor.p3@direct.nautilus.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1190 W. Baker Street Ste 103",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.