Active NPI
Randy Taylor, M.D.
- Internal Medicine Physician
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C42157
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Boston University School of Medicine, 1984
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3987 | AK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayflower Medical Group, Inc. | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- West Covina, CA
- NPI 1003188160
-
- Rehabilitation Hospital Unit
- Napa, CA
- NPI 1609947282
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.