Elsie Belinda Taylor, PA-C
Individual provider Active NPI Medical Physician Assistant · Herlong, CA
NPI 1649419722 · NPPES record last updated Oct 3, 2017
Key facts
- NPI
- 1649419722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA17921 (CA)
- Practice address
- 742-450 Herlong Access Rd
Herlong, CA 96113 - Phone
- (530) 257-2181
- NPI assigned
- Feb 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17921 | CA | MD | Acupuncturist |
| PA17921 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighbor Hood Medical Clinic | Past | Accepting new patients |
Interoperability endpoints
- elsie.taylor.p1@direct.lakeside.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA17921 | CA | Yes |
Addresses
Primary practice location
742-450 Herlong Access Rd
Herlong, CA 96113
Mailing address
P.O. Box 939
Herlong, CA 96113
Phone (323) 820-7181
Other providers in Herlong, CA
All providers in Herlong, CA · Medical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.