Individual provider Active NPI

Taylor Mark Isenburg, PA-C

  • Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1457976144
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58146 Issued in CA
Practice address
401 E Carrillo St
Santa Barbara, CA 93101-1460
Phone
(805) 563-3307
NPI assigned
Jun 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 58146 CA Primary

Addresses

Primary practice location

401 E Carrillo St
Santa Barbara, CA 93101-1460

Mailing address

7650 E Ann Way
Scottsdale, AZ 85260-4849
Phone (602) 370-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200724000831 CA Practitioner - Physician Assistant 1951725837
I20211230001582 AZ Practitioner - Physician Assistant 1951725837 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

1255 W Rio Salado Pkwy
Suite 107
Tempe, AZ 85281-2892
Phone (480) 962-0071

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

8405 N Pima Ctr Pkwy
Suite 201
Scottsdale, AZ 85258-4638
Phone (480) 882-7470

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

9700 N 91St St
Suite B108
Scottsdale, AZ 85258-5036
Phone (480) 962-0071

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58146CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Mar 14, 2022 Accepting new patients
Yuma Regional Medical Center CurrentSince May 13, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 14, 2022 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

3717 S Rome St
Ste 106
Gilbert, AZ 85297
Phone (623) 683-8184

5681 W Beverly Ln
Ste 101
Glendale, AZ 85306

33300 N 32nd Ave
Ste 205
Phoenix, AZ 85085
Phone (602) 962-0071

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

20745 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85255
Phone (480) 882-7510

1255 W Rio Salado Pkwy
Ste 107
Tempe, AZ 85281
Phone (602) 443-4170

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2460 S Parkview Loop
Ste 3
Yuma, AZ 85364
Phone (928) 336-5483

Interoperability endpoints

  • Direct secure messaging: tisenburg447798@direct.honorhealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1457976144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 E ANN WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604849",
            "telephone_number": "602-370-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CARRILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011460",
            "telephone_number": "805-563-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENBURG",
        "first_name": "TAYLOR",
        "middle_name": "MARK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.