Ty M. Taylor, LSA,CSA,SA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00570 Issued in TX

Practice address

2915 W Bitters Rd
San Antonio, TX 78248-1689

Phone

(816) 522-7899

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ty M Taylor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1730223785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 W BITTERS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481689",
            "telephone_number": "816-522-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 W BITTERS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481689",
            "telephone_number": "816-522-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TY",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LSA,CSA,SA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KS",
            "license": "3618",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TY",
            "last_name": "TAYLOR",
            "middle_name": "M",
            "credential": "LSA,CSA,SA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shelley Danielle Taylor, OTR
• Stephanie Taylor
• Terri J Taylor, MD
• Timothy Nickolas Taylor, M.D.
• Travis Jay Taylor, M.D.
• Victor Maurice Taylor, LPC
• Whitney Taylor, DO
• William Ben Taylor, D.D.S.
• William G Taylor, PA
• Winona Kathleen Taylor, PHARMACY TECHNIIAN

• Surgical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.