Individual provider Active NPI

Taylor Nichols, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Sacramento, CA
National Provider Identifier
1619249034
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
A133836 Issued in CA
Practice address
3647 40TH St
Sacramento, CA 95817-3609
Phone
(916) 452-1068
NPI assigned
Feb 1, 2012
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A133836 CA
Emergency Medicine Physician 207P00000X MD180706 OR
Addiction Medicine (Preventive Medicine) Physician 2083A0300X A133836 CA Primary

Addresses

Primary practice location

3647 40TH St
Sacramento, CA 95817-3609

Mailing address

3647 40TH St
Sacramento, CA 95817-3609
Phone (916) 452-1068

Other practice location 1

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 887-0000

Other practice location 2

2221 Fair Oaks Blvd
Sacramento, CA 95825-5501
Phone (888) 215-1970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, MP3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160406000126 CA Practitioner - Emergency Medicine 0749588861 Reassigns benefits to 9 organizations
I20170830001693 OR Practitioner - Emergency Medicine 0749588861 Reassigns benefits to 1 organization
I20180615000758 MP Practitioner - Emergency Medicine 0749588861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Davis School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians

Practice addresses (Care Compare)

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133836CAMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Regents of the University of Ca Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
University of California San Francisco CurrentSince Mar 31, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 31, 2020 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince May 25, 2018 Accepting new patients
Good Shepherd Health Care System CurrentSince Jul 1, 2018 Accepting new patients
Vituity-California Observation Services PC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Transitions Buprenorphine Clinic of Sacramento CurrentSince Dec 29, 2025 Accepting new patients
Vituity-California Observation Services PC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 1, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 31, 2020 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Vituity - Urgent Care Services PC Current Accepting new patients
University of California San Francisco CurrentSince Mar 31, 2020 Accepting new patients
Regents of the University of California CurrentSince Mar 31, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
Commonwealth Healthcare Corporation CurrentSince May 25, 2018 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Oct 26, 2022 Accepting new patients
Rapidcare Walk in Medical Group, Inc. PastSince Mar 20, 2023 Accepting new patients
Transitions Buprenorphine Clinic of Sacramento PastSince Apr 6, 2025 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

3647 40th St
Sacramento, CA 95817
Phone (916) 452-1068

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

505 Parnassus Ave
Rm M24
San Francisco, CA 94143
Phone (415) 353-1529

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

Interoperability endpoints

  • Direct secure messaging: tnichols467824@hisp.ehr.sutterhealth.org
  • Direct secure messaging: tnichols51079@direct-ucsfmedicalcenter.org

Organizations & group practices 24

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.

View all 24

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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1619249034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 40TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958173609",
            "telephone_number": "916-452-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 40TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958173609",
            "telephone_number": "916-452-1068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Capitol Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958166039",
            "country_code": "US",
            "telephone_number": "916-887-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2221 Fair Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958255501",
            "country_code": "US",
            "telephone_number": "888-215-1970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A133836",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD180706",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A133836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.