Active NPI
Ryan Richard Taylor, MD
- Pediatric Critical Care Medicine Physician
- Los Angeles, CA
National Provider Identifier
1558505719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- A100367
- Practice address
- Mattel Childrens Hospital at UCLA
10833 Le Conte Ave., 12-494, MDCC
Los Angeles, CA 90095-0001 - Phone
- (310) 416-9799
- NPI assigned
- Apr 30, 2009
- Last updated
- Apr 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | A100367 | CA | Primary |
Addresses
Primary practice location
Mattel Childrens Hospital at UCLA
10833 Le Conte Ave., 12-494, MDCC
Los Angeles, CA 90095-0001
Mailing address
611 S Cloverdale Ave
Apt. 208
Los Angeles, CA 90036-4164
Phone (847) 708-8090
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100367 | CA | MD | Pediatric Critical Care Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1558505719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 S CLOVERDALE AVE",
"address_2": "APT. 208",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364164",
"telephone_number": "847-708-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MATTEL CHILDRENS HOSPITAL AT UCLA",
"address_2": "10833 LE CONTE AVE., 12-494, MDCC",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-416-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "RYAN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-30",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "A100367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.