Individual provider Active NPI

Douglas M Taylor, DPM

  • Primary Podiatric Medicine Podiatrist
  • Walnut Creek, CA
National Provider Identifier
1518915693
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E3216 Issued in CA
Practice address
1855 San Miguel Dr
Suite 30
Walnut Creek, CA 94596-5279
Phone
(925) 945-7796
Fax
(925) 945-7652
NPI assigned
May 4, 2006
Last updated
Jun 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X E3216 CA Primary
Radiology Podiatrist 213ER0200X E3216 CA
Sports Medicine Podiatrist 213ES0000X E3216 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E3216 CA

Addresses

Primary practice location

1855 San Miguel Dr
Suite 30
Walnut Creek, CA 94596-5279

Mailing address

1855 San Miguel Dr
Suite 30
Walnut Creek, CA 94596-5279
Phone (925) 945-7796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071203000672 CA Practitioner - Podiatry 9335238013 Practice locations: San Leandro, CA; Walnut Creek, CA
O20100930067631 CA DME Supplier - Physician - Podiatry 9537371851 Practice locations: San Leandro, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1855 San Miguel Dr
Suite 30
Walnut Creek, CA 94596-5298
Phone (925) 945-7796

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as individual
Quality
72.17
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue155
Removal or shaving of skin growth218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3216CAMDPrimary Podiatric Medicine Podiatrist
3216CAMDCertified Registered Nurse Anesthetist

Interoperability endpoints

  • Direct secure messaging: dtaylor@douglastaylor.emadirect.md

Hospital & facility affiliations 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1518915693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "SUITE 30",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965279",
            "telephone_number": "925-945-7796",
            "fax_number": "925-945-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "SUITE 30",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965279",
            "telephone_number": "925-945-7796",
            "fax_number": "925-945-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E3216",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "CA",
            "license": "E3216",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E3216",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.