Individual provider Active NPI

James Taylor, M.D.

  • General Practice Physician
  • San Rafael, CA
National Provider Identifier
1801825328
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G62102 Issued in CA
Practice address
1155 Andersen Dr
Ste 1107
San Rafael, CA 94901-5336
Phone
(415) 455-0914
Fax
(415) 454-4315
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G62102 CA Primary

Addresses

Primary practice location

1155 Andersen Dr
Ste 1107
San Rafael, CA 94901-5336

Mailing address

1155 Andersen Dr
Ste 1107
San Rafael, CA 94901-5336
Phone (415) 455-0914

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
I20031113000763 CA Practitioner - Internal Medicine 1052225125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
James D Taylor MD Inc CurrentSince Jan 4, 1988 Accepting new patients

Organizations & group practices 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1801825328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 ANDERSEN DR",
            "address_2": "STE 1107",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015336",
            "telephone_number": "415-455-0914",
            "fax_number": "415-454-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 ANDERSEN DR",
            "address_2": "STE 1107",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015336",
            "telephone_number": "415-455-0914",
            "fax_number": "415-454-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G62102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.