Taylored Shoes

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TAYLORED SHOES

Practice address

1035 San Pablo Ave
Suit 8
Albany, CA 94706-2275

Phone

(707) 290-0627

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Keith Taylor

Title

Owner/C.Ped

Phone

(707) 290-0627

Specialties & licenses 1

Addresses

Tax ID family

Taylored Shoes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Taylored Shoes

  • Durable Medical Equipment & Medical Supplies
  • Novato, CA
  • NPI 1184993941
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1811266679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WATERMAN BLVD",
            "address_2": "SUIT 4A PMB 115",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SAN PABLO AVE",
            "address_2": "SUIT 8",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062275",
            "telephone_number": "707-290-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORED SHOES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/C.PED",
        "authorized_official_telephone_number": "707-290-0627"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacinta Rose-Marie Sutphin, AMFT
• Fumi Louise Suzuki, M.D.
• Shahin Tabibzadeh
• Fatemeh Tahanejad
• Keith J Taylor
• Ted Mihok DPM Anthony Poggio DPM Kam Wong DPM PTRS
• Carrie D. Thaler, PH.D.
• The Center for Early Childhood Connections
• Tracey Thomas, ND
• Sanaz Tofighi

• Durable Medical Equipment & Medical Supplies in Albany, CA
• Providers in Albany, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.