Individual provider Active NPI

Timothy Taylor, M.D.

  • Psychiatry Physician
  • Bishop, CA
National Provider Identifier
1720208424
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G66724 Issued in CA
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

Updated by the provider on Jan 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000649 CA Practitioner - PsychiatryPractitioner - General Practice 8224010467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: General Practice
Education
George Washington University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Research Foundation IncGroup PAC ID 6800825332, 63 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G66724CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation Inc CurrentSince Aug 28, 2025 Accepting new patients
Hope Services PastSince Mar 20, 2022 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.

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

Verify at the official NPI Registry.