Organization Active NPI

Scott M Taylor MD Professional Corporation

  • Orthopaedic Surgery Physician
  • Oakland, CA
National Provider Identifier
1457596629
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A42745 Issued in CA
Legal business name
SCOTT M TAYLOR MD PROFESSIONAL CORPORATION
Practice address
400 29TH St
Suite #400
Oakland, CA 94609-3522
Phone
(510) 238-9600
Fax
(510) 238-9609
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Dr. Scott Morris Taylor, M.D.
Title
President/Owner
Phone
(510) 238-9600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X A42745 CA Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X A42745 CA
Orthopaedic Trauma PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0801X A42745 CA

Addresses

Primary practice location

400 29TH St
Suite #400
Oakland, CA 94609-3522

Mailing address

400 29TH St
Suite #400
Oakland, CA 94609-3522
Phone (510) 238-9600

National Provider Directory

National Provider Directory

Locations

400 29th St
Ste 400
Oakland, CA 94609
Phone (510) 238-9600

3875 Telegraph Ave
Bsmt
Oakland, CA 94609
Phone (510) 547-2244

7901 Oakport St
Ste 4950
Oakland, CA 94621
Phone (510) 238-9600

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1457596629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 29TH ST",
            "address_2": "SUITE #400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093522",
            "telephone_number": "510-238-9600",
            "fax_number": "510-238-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 29TH ST",
            "address_2": "SUITE #400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093522",
            "telephone_number": "510-238-9600",
            "fax_number": "510-238-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M TAYLOR MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "510-238-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A42745",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A42745",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A42745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.