Individual provider Active NPI

Kiriaki Taylor

  • Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1831683762
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
55675 Issued in CA
Practice address
250 N Robertson Blvd Ste 106a
Beverly Hills, CA 90211-1767
Phone
(818) 922-2244
Fax
(877) 239-0994
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 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 55675 CA Primary

Addresses

Primary practice location

250 N Robertson Blvd Ste 106a
Beverly Hills, CA 90211-1767

Mailing address

9663 Santa Monica Blvd # 1151
Beverly Hills, CA 90210-4303
Phone (818) 922-2244

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
I20190529001729 CA Practitioner - Physician Assistant 8325381627 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Saviors Advanced Medical Group IncGroup PAC ID 1557863347, 7 clinicians

Practice addresses (Care Compare)

Long Beach, CA 90807
Phone (714) 698-9826

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55675CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Saviors Advanced Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Minghsun Liu, M.D., PC CurrentSince Dec 15, 2025 Accepting new patients
WT Health of California LLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

3605 Long Beach Blvd
Ste 210F
Long Beach, CA 90807
Phone (714) 698-9826

11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1831683762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD # 1151",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "818-922-2244",
            "fax_number": "877-239-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD STE 106A",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111767",
            "telephone_number": "818-922-2244",
            "fax_number": "877-239-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIRIAKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.