Individual provider Active NPI

Nicholas Kenji Taylor, MD

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1699156281
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A144643 Issued in CA
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

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, GU2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180611001478 CA Practitioner - Family Practice 9133495872 Reassigns benefits to 4 organizations
I20250724002450 GU Practitioner - Internal Medicine 9133495872 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144643CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Feb 3, 2020 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Jul 28, 2025 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2018 Accepting new patients
John Muir Physician Network CurrentSince Jul 1, 2018 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.

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

Verify at the official NPI Registry.