Individual provider Active NPI

Taylor Alexander, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1609478148
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95025182 Issued in CA
Practice address
4040 Barranca Pkwy Ste 260
Irvine, CA 92604-4780
Phone
(925) 282-1778
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95186348 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95025182 CA Primary

Addresses

Primary practice location

4040 Barranca Pkwy Ste 260
Irvine, CA 92604-4780

Mailing address

4040 Barranca Pkwy Ste 260
Irvine, CA 92604-4780

Other practice location 1

196 Augustine
Irvine, CA 92618-0874
Phone (951) 442-9549

Other practice location 2

265 S Anita Dr
Orange, CA 92868-3355
Phone (855) 625-4657

Other practice location 3

18501 Gale Ave Ste 100
City Of Industry, CA 91748-1359
Phone (626) 626-4997

Other practice location 4

3 Monarch Bay Plz
Dana Point, CA 92629-3440
Phone (951) 442-9549

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927003143 CA Practitioner - Nurse Practitioner 6608220488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

4040 Barranca Pkwy
Suite 260
Irvine, CA 92604-4780
Phone (925) 282-1778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens Medical Corporation CurrentSince Sep 15, 2023 Accepting new patients
Thomas Health Services Inc CurrentSince Sep 15, 2023 Accepting new patients
Star View Behavioral Health, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Jul 7, 2024 Accepting new patients
Pacific Coast Psychiatric Associates Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

18501 Gale Ave
Ste 100
City of Industry, CA 91748
Phone (626) 346-5996

4040 Barranca Pkwy
Ste 260
Irvine, CA 92604

320 Pine Ave
Ste 1030
Long Beach, CA 90802
Phone (310) 360-7200

1501 Hughes Way
Ste 150
Long Beach, CA 90810
Phone 3102216336 ext. 128

11400 W Olympic Blvd
Ste 200
Los Angeles, CA 90064
Phone (401) 359-0757

1500 Rosecrans Ave
Ste 500
Manhattan Beach, CA 90266
Phone (310) 571-5936

1590 Rosecrans Ave
Ste D617
Manhattan Beach, CA 90266
Phone (310) 360-7200

402 W Broadway
Fl 4
San Diego, CA 92101

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.tayloralexander@148377.advancedmd-direct.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.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1609478148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BARRANCA PKWY STE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BARRANCA PKWY STE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044780",
            "telephone_number": "925-282-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Augustine",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926180874",
            "country_code": "US",
            "telephone_number": "951-442-9549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 S Anita Dr",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683355",
            "country_code": "US",
            "telephone_number": "855-625-4657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18501 Gale Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "City Of Industry",
            "state": "CA",
            "postal_code": "917481359",
            "country_code": "US",
            "telephone_number": "626-626-4997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Monarch Bay Plz",
            "address_purpose": "LOCATION",
            "city": "Dana Point",
            "state": "CA",
            "postal_code": "926293440",
            "country_code": "US",
            "telephone_number": "951-442-9549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "TAYLOR",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95186348",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.