Individual provider Active NPI

Michael Herbert Taylor, M.D.

  • Surgery Physician
  • Granite Bay, CA
National Provider Identifier
1770521809
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A417940 Issued in CA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Hip replacement21
Knee replacement23
Upper limb (arm) arthroscopy (minimally invasive joint repair)37
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A417940CAMDSurgery Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.