Active NPI
Jonathon Charles Taylor, PA
- Medical Physician Assistant
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 67567
- Practice address
- 2823 Fresno St
Fresno, CA 93721-1324 - Phone
- (559) 459-6000
- NPI assigned
- Nov 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 67567 | CA | |
| Medical Physician Assistant | 363AM0700X | 67567 | CA | Primary |
Addresses
Primary practice location
2823 Fresno St
Fresno, CA 93721-1324
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
Other practice location 1
3520 W Montague Ave Ste 104
North Charleston, SC 29418-6083
Phone (843) 746-1001
Other practice location 2
14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896
Phone (803) 434-1663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2625 E Divisadero St
Fresno, CA 93721-1431
4055 Valley View LN
Suite 400
Dallas, TX 75244-4910
PO Box
Gainesville, FL 32610
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4693 | SC | MD | Professional Counselor |
| 67567 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Central California Faculty Medical Group, Inc. | Current | Accepting new patients | |
| Greenwood Genetics Center, Inc. | Current | Accepting new patients | |
| Greenwood Genetic Center Lab | Current | Accepting new patients | |
| Central California Faculty Medical Group, Inc. | Current | Accepting new patients | |
| Greenwood Genetics Center, Inc. | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients |
Locations
2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200
2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
14 Richland Medical Park Dr
Ste 350
Columbia, SC 29203
Phone (803) 434-1663
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
101 Gregor Mendel Cir
Greenwood, SC 29646
Phone (864) 941-8100
800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214
3520 W Montague Ave
Ste 104
North Charleston, SC 29418
Phone (843) 746-1001
Interoperability endpoints
- jtaylor704794@direct.ghs.myhfn.org
Organizations & group practices 13
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.
-
- Clinical Genetics (M.D.) Physician
- Greenwood, SC
- NPI 1649261462
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1457603573
-
- Internal Medicine Physician
- Clovis, CA
- NPI 1992742852
-
- Clinical Medical Laboratory
- Greenwood, SC
- NPI 1669463014
-
- Clinical Genetics (M.D.) Physician
- Greenville, SC
- NPI 1831318856
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Plastic and Reconstructive Surgery Physician
- Sumter, SC
- NPI 1447749510
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1508576745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211431",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211324",
"telephone_number": "559-459-6000"
}
],
"practiceLocations": [
{
"address_1": "3520 W Montague Ave Ste 104",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294186083",
"country_code": "US",
"telephone_number": "843-746-1001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 Richland Medical Park Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036896",
"country_code": "US",
"telephone_number": "803-434-1663",
"fax_number": "803-434-3894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "JONATHON",
"middle_name": "CHARLES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-29",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "67567",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "67567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.