Individual provider Active NPI

Taylor Morgan

  • Family Nurse Practitioner
  • Redondo Beach, CA
National Provider Identifier
1720674104
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029932 Issued in CA
Practice address
605 S Prospect Ave Unit 101
Redondo Beach, CA 90277-4408
Phone
(310) 710-8322
Fax
(310) 533-1441
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029932 CA Primary

Addresses

Primary practice location

605 S Prospect Ave Unit 101
Redondo Beach, CA 90277-4408

Mailing address

605 S Prospect Ave Unit 101
Redondo Beach, CA 90277-4408
Phone (310) 710-8322

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210003832 CA Practitioner - Nurse Practitioner 1759817067 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osher Resources Inc CurrentSince Oct 5, 2024 Accepting new patients
Beautiful Homes Residential Care PastSince Dec 1, 2020 Accepting new patients
Marble Estates Inc PastSince Sep 3, 2025 Accepting new patients

Locations

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

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": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1720674104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S PROSPECT AVE UNIT 101",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774408",
            "telephone_number": "310-710-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S PROSPECT AVE UNIT 101",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774408",
            "telephone_number": "310-710-8322",
            "fax_number": "310-533-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.