Active NPI
Michael Herbert Taylor, M.D.
- Surgery Physician
- Granite Bay, CA
National Provider Identifier
1770521809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A417940
- Practice address
- 5838 Wedgewood Dr
Granite Bay, CA 95746-6701 - Phone
- (916) 847-7148
- Fax
- (916) 791-9139
- NPI assigned
- Jun 2, 2006
- Last updated
- Nov 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A417940 | CA | Primary |
Addresses
Primary practice location
5838 Wedgewood Dr
Granite Bay, CA 95746-6701
Mailing address
PO Box 2398
Granite Bay, CA 95746-9638
Phone (916) 791-7408
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041119000308 | CA | Practitioner - Surgical Oncology | 0244294114 | Practice locations: Granite Bay, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5838 Wedgewood Dr
Granite Bay, CA 95746-6701
Phone (916) 847-7148
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 21 |
| Knee replacement | 23 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 37 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A417940 | CA | MD | Surgery Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sutter Roseville Medical Center
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1770521809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2398",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957469638",
"telephone_number": "916-791-7408",
"fax_number": "916-791-9139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5838 WEDGEWOOD DR",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957466701",
"telephone_number": "916-847-7148",
"fax_number": "916-791-9139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MICHAEL",
"middle_name": "HERBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A417940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.