Timothy Justin Taylor, D.O.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

20A17483 Issued in CA

Practice address

2170 S El Camino Real Ste 117-122
Oceanside, CA 92054-6203

Phone

(760) 730-8060

Fax

(760) 730-8061

NPI assigned

Apr 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.taylor.1@22510.direct.athenahealth.com

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.

• Non-Surgical Orthopedic Center a Professional Medical Corporation

  • Specialist
  • Oceanside, CA
  • NPI 1164847547

  CA

  Medicare reassignment Care Compare group NPD

Specialty

Osteopathic Manipulative MedicineAlso: Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Non-Surgical Orthopedic Center a Professional Medical Corporation 8 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1437546512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 S EL CAMINO REAL STE 117-122",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546203",
            "telephone_number": "760-730-8060",
            "fax_number": "760-730-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 S EL CAMINO REAL STE 117-122",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546203",
            "telephone_number": "760-730-8060",
            "fax_number": "760-730-8061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W 27th St",
            "address_2": "Southeastern Health",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283583075",
            "country_code": "US",
            "telephone_number": "910-738-2662",
            "fax_number": "910-272-7153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TIMOTHY",
        "middle_name": "JUSTIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A17483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Renee Taylor
• Christian Doron Taylor
• Christina Naomi Taylor, B.A.
• Kyle Andrew Taylor, IDC
• Phyllis Jean Taylor, FNP
• Aaron Tayman, OD
• Adam Tayman, OD
• TCM Acupuncture & Herbs Center Co
• Team Physicians of Southern California Medical Group, Inc.
• Michael W Teel, CPO

• All providers in Oceanside, CA
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.