Individual provider Active NPI

Randy Taylor, M.D.

  • Internal Medicine Physician
  • Covina, CA
National Provider Identifier
1750490702
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C42157 Issued in CA
Practice address
1433 N Hollenbeck Ave Ste 200
Covina, CA 91722-1558
Phone
(626) 331-2209
Fax
(626) 967-1410
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C42157 CA Primary
Internal Medicine Physician 207R00000X 3987 AK

Addresses

Primary practice location

1433 N Hollenbeck Ave Ste 200
Covina, CA 91722-1558

Mailing address

1433 N Hollenbeck Ave Ste 200
Covina, CA 91722-1558
Phone (626) 331-2209

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
I20090706000074 CA Practitioner - Internal Medicine 3870590698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Mayflower Medical Group IncGroup PAC ID 6901804350, 7 clinicians

Practice addresses (Care Compare)

140 N Orange Ave
Suite 100
West Covina, CA 91790-2032
Phone (626) 800-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3987AKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayflower Medical Group, Inc. Internal Medicine CurrentSince Oct 26, 2019 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

1433 N Hollenbeck Ave
Ste 200
Covina, CA 91722
Phone (626) 331-2209

11436 Garvey Ave
Ste Ab
El Monte, CA 91732
Phone (626) 459-5420

11436 Garvey Ave
Ste A
El Monte, CA 91732
Phone (626) 459-5420

11436 Garvey Ave
El Monte, CA 91732
Phone (626) 459-5420

11436 Garvey Ave
Ste B
El Monte, CA 91732

140 N Orange Ave
Ste 100
West Covina, CA 91790
Phone (626) 800-1200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1750490702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 N HOLLENBECK AVE STE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221558",
            "telephone_number": "626-331-2209",
            "fax_number": "626-967-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N HOLLENBECK AVE STE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221558",
            "telephone_number": "626-331-2209",
            "fax_number": "626-967-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RANDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C42157",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "3987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.