Individual provider Active NPI

Taylor Maclean Cuenin, PA

  • Physician Assistant
  • Walnut Creek, CA
National Provider Identifier
1811673502
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
130 La Casa Via Ste 210
Walnut Creek, CA 94598-3035
Phone
(925) 309-5155
NPI assigned
Jun 26, 2023
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

130 La Casa Via Ste 210
Walnut Creek, CA 94598-3035

Mailing address

130 La Casa Via Ste 210
Walnut Creek, CA 94598-3035

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913002611 CA Practitioner - Physician Assistant 7618331372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxwell B Merkow MD a Medical CorporationGroup PAC ID 8325317282, 4 clinicians
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

130 La Casa Via
Suite 210
Walnut Creek, CA 94598-3035
Phone (925) 309-5155

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Surgical Specialists, Inc a Medical Corporation CurrentSince Nov 1, 2023 Accepting new patients
Bass Medical Group CurrentSince Nov 1, 2023 Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • Direct secure messaging: tcuenin166423@ehr.johnmuirhealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1811673502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983035",
            "telephone_number": "925-309-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUENIN",
        "first_name": "TAYLOR",
        "middle_name": "MACLEAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.