Active NPI
Timothy Taylor, M.D.
- Psychiatry Physician
- Bishop, CA
National Provider Identifier
1720208424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G66724
- Practice address
- 386 W Line St
Bishop, CA 93514-3413 - Phone
- (775) 966-7226
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G66724 | CA | Primary |
Addresses
Primary practice location
386 W Line St
Bishop, CA 93514-3413
Mailing address
PO Box 12474
Reno, NV 89510-2474
Phone (818) 736-2107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- George Washington University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1260 Morena Blvd
Suite 100
San Diego, CA 92110-3850
Phone (619) 398-0355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G66724 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Current | Accepting new patients | |
| Hope Services | Past | Accepting new patients | |
| Soho Medical Doctors California | Psychiatry | Past | Accepting new patients |
| Puentes Al Sur | Past | Accepting new patients |
Locations
1202 Morena Blvd
Ste 100
San Diego, CA 92110
Phone (619) 276-8112
1260 Morena Blvd
Ste 100
San Diego, CA 92110
Phone (619) 398-0350
1202 Morena Blvd
Ste 300
San Diego, CA 92110
Phone (619) 276-8112
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
-
- Community/Behavioral Health Agency
- Mountain View, CA
- NPI 1043571730
-
- Adult Mental Health Clinic/Center
- Watsonville, CA
- NPI 1992849012
-
- Psychiatry Physician
- Los Angeles, CA
- NPI 1447854146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736035200000",
"number": "1720208424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12474",
"city": "RENO",
"state": "NV",
"postal_code": "895102474",
"telephone_number": "818-736-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 W LINE ST",
"city": "BISHOP",
"state": "CA",
"postal_code": "935143413",
"telephone_number": "775-966-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TIMOTHY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2025-01-05",
"certification_date": "2025-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G66724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bishop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.