Taylor Taylor, L.AC. LVN

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC15111 Issued in CA

Practice address

1090 University Ave Ste 207G
San Diego, CA 92103-7308

Phone

(619) 458-9626

Fax

(619) 228-9061

NPI assigned

Apr 15, 2014

Sex

Male

Sole proprietor

Yes

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.

• Taylor Made Acupuncture

  • Acupuncturist
  • San Diego, CA
  • NPI 1861908550
  NPD (past) Authorized official

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437578614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 UNIVERSITY AVE STE 207G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037308",
            "telephone_number": "626-378-3742",
            "fax_number": "619-228-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 UNIVERSITY AVE STE 207G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037308",
            "telephone_number": "619-458-9626",
            "fax_number": "619-228-9061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53651 US Highway 371",
            "address_2": "#27",
            "address_purpose": "LOCATION",
            "city": "Anza",
            "state": "CA",
            "postal_code": "925399616",
            "country_code": "US",
            "telephone_number": "626-378-3742",
            "fax_number": "909-673-1027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53651 US Highway 371",
            "address_2": "#27",
            "address_purpose": "LOCATION",
            "city": "Anza",
            "state": "CA",
            "postal_code": "925399616",
            "country_code": "US",
            "telephone_number": "626-378-3742",
            "fax_number": "909-673-1027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "L.AC. LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Karene Taylor, PA-C
• Stacy Taylor, M.S. CCC-SLP
• Susan J Taylor, MD
• Suzanne Young Taylor, PCI, MA
• Tasha Katherine Taylor, MD
• Teresita Taylor, RN
• Terrance James Taylor
• Theresa Ann Bridget Taylor, LMSW, SAP, SUDRC
• Victoria R Taylor
• William B Taylor, PTA, ATC

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.