Samuel Irving Taylor III

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Practice address

581 63Rd St
Oakland, CA 94609-1244

Phone

(415) 410-4975

NPI assigned

Jul 17, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1720218266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 63RD ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091244",
            "telephone_number": "415-410-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 63RD ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091244",
            "telephone_number": "415-410-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SAMUEL",
        "middle_name": "IRVING",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelynn Taylor, MD
• Myesha A. Taylor, ATC
• Nicholas Kenji Taylor, MD
• Renee D Taylor
• Roger A Taylor, PHARMD
• Sandra Denise Taylor, MHA 111
• Sarah Taylor, LCSW
• Scott Taylor, RN
• Scott M Taylor, MD
• Shay Taylor

• Emotionally Disturbed Childrens' Residential Treatment Facility in Oakland, CA
• Providers in Oakland, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.