Victoria Taylor, ATC, CSCS, PN1

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000023139 Issued in CA

Practice address

1367 Avocado Ave
Newport Beach, CA 92660-7801

Phone

(949) 752-7625

NPI assigned

Jul 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rock Advantage Inc

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1871145391
  NPD (past)

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1366964892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 AVOCADO AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 AVOCADO AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607801",
            "telephone_number": "949-752-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "VICTORIA",
        "credential": "ATC, CSCS, PN1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000023139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Taylor, NURSE PRACTITIONER
• Kristin Taylor
• Regina Taylor
• Shannon Nazerea Taylor
• Sydney Taylor
• Yanna Margaret Taytayon
• Tcma Acupuncture
• Teagle Hall LLC
• Jerry Lee Teixeira, PH.D
• Tejinder M Kalra, MD

• Athletic Trainer in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.