Individual provider Active NPI

Sharon Taylor, M.D.

  • Pediatrics Physician
  • Simi Valley, CA
National Provider Identifier
1609011782
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A101861 Issued in CA
Practice address
2755 Alamo St
Ste 201
Simi Valley, CA 93065
Phone
(805) 522-6577
Fax
(805) 426-8282
NPI assigned
Dec 3, 2008
Last updated
Nov 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A101861 CA Primary

Addresses

Primary practice location

2755 Alamo St
Ste 201
Simi Valley, CA 93065

Mailing address

2755 Alamo St.
Ste 201
Simi Valley, CA 93065
Phone (805) 522-6577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000060 CA Practitioner - Pediatric Medicine 8921141664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A101861CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Medical Organization, a Medical Group Inc. Pediatrics CurrentSince Mar 17, 2010 Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Heritage Provider Network, Inc. Past Accepting new patients
Taylor Pediatrics Pediatrics Past Accepting new patients

Locations

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

2755 Alamo St
Ste 201
Simi Valley, CA 93065
Phone (805) 210-7280

3605 Alamo St
Ste 100
Simi Valley, CA 93063
Phone (805) 522-6577

612 E Janss Rd
Thousand Oaks, CA 91360
Phone (805) 373-0725

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sharon.taylor.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: sharon.taylor.p20@direct.regal.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1609011782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 ALAMO ST.",
            "address_2": "STE 201",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-522-6577",
            "fax_number": "805-426-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 ALAMO ST",
            "address_2": "STE 201",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-522-6577",
            "fax_number": "805-426-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A101861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.