Individual provider Active NPI

Bonnie Claire Taylor, M.D.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1457429912
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G66891 Issued in CA
Practice address
3801 3Rd St Ste 400
Foster Care Mental Health
San Francisco, CA 94124-1409
Phone
(415) 970-3850
Fax
(415) 970-3813
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G66891 CA Primary

Addresses

Primary practice location

3801 3Rd St Ste 400
Foster Care Mental Health
San Francisco, CA 94124-1409

Mailing address

3801 3Rd St Ste 400
Foster Care Mental Health
San Francisco, CA 94124-1409
Phone (415) 970-3850

Other identifiers 1

IdentifierTypeStateIssuer
00G668910MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G66891CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1457429912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 3RD ST STE 400",
            "address_2": "FOSTER CARE MENTAL HEALTH",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241409",
            "telephone_number": "415-970-3850",
            "fax_number": "415-970-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 3RD ST STE 400",
            "address_2": "FOSTER CARE MENTAL HEALTH",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241409",
            "telephone_number": "415-970-3850",
            "fax_number": "415-970-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BONNIE",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G66891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G668910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.