Active NPI
Nicholas Kenji Taylor, MD
- Family Medicine Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A144643
- Practice address
- 9925 International Blvd
Oakland, CA 94603-2558 - Phone
- (510) 777-1177
- NPI assigned
- Jun 9, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A144643 | CA | Primary |
| Hospitalist Physician | 208M00000X | M-2473 | GU | |
| Family Medicine Physician | 207Q00000X | M-2473 | GU |
Addresses
Primary practice location
9925 International Blvd
Oakland, CA 94603-2558
Mailing address
1944 108TH Ave
Oakland, CA 94603-3912
Other practice location 1
1944 108th Ave
Oakland, CA 94603-3912
Phone (814) 795-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144643 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Healthcare Medical Associates Inc. | Family Medicine | Current | Accepting new patients |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Family Medicine | Current | Accepting new patients |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| John Muir Physician Network | Current | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
2700 Grant St
Ste 110
Concord, CA 94520
Phone (925) 674-2500
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610
2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300
1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828
1450 Treat Blvd
Ste 160
Walnut Creek, CA 94597
Phone (925) 296-9000
1450 Treat Blvd
#160
Walnut Creek, CA 94597
Phone (925) 296-9000
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
Organizations & group practices 7
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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Family Medicine
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1366417420
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- Primary Care Clinic/Center
- Oakland, CA
- NPI 1083858823
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174598296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1699156281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1944 108TH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946033912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9925 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946032558",
"telephone_number": "510-777-1177"
}
],
"practiceLocations": [
{
"address_1": "1944 108th Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946033912",
"country_code": "US",
"telephone_number": "814-795-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "NICHOLAS",
"middle_name": "KENJI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A144643",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GU",
"license": "M-2473",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GU",
"license": "M-2473",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.