Active NPI
Steven L. Taggart, M.D.
- Family Medicine Physician
- Atwater, CA
National Provider Identifier
1629049788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G40207
- Practice address
- 1775 3Rd St
Atwater, CA 95301-3608 - Phone
- (209) 358-5611
- Fax
- (209) 358-0219
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G40207 | CA | Primary |
Addresses
Primary practice location
1775 3Rd St
Atwater, CA 95301-3608
Mailing address
1775 3Rd St
Atwater, CA 95301-3608
Phone (209) 358-5611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080025593 | Other | CA | RAILROAD |
| ZZZ77315Z | Other | CA | MEDI-CAL CALIFORNIA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G40207 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1629049788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 3RD ST",
"city": "ATWATER",
"state": "CA",
"postal_code": "953013608",
"telephone_number": "209-358-5611",
"fax_number": "209-358-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 3RD ST",
"city": "ATWATER",
"state": "CA",
"postal_code": "953013608",
"telephone_number": "209-358-5611",
"fax_number": "209-358-0219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGGART",
"first_name": "STEVEN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G40207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "080025593",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL CALIFORNIA",
"identifier": "ZZZ77315Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atwater, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.