Active NPI
Charles Taylor Medical Corp
- Diagnostic Radiology Physician
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CHARLES TAYLOR MEDICAL CORP
- Practice address
- 10722 Arrow Rte Ste 512
Rancho Cucamonga, CA 91730-4840 - Phone
- (818) 913-9940
- Fax
- (562) 349-0457
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Taylor
- Title
- President
- Phone
- (760) 217-0492
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
10722 Arrow Rte Ste 512
Rancho Cucamonga, CA 91730-4840
Mailing address
65 Pine Ave # 246
Long Beach, CA 90802-4718
Phone (760) 217-0492
Other practice location 1
4000 Empire Dr
Ste 100
Bakersfield, CA 93309-0400
Phone (760) 946-5177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Charles Taylor Medical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Barstow, CA
- NPI 1912076381
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Apple Valley, CA
- NPI 1578594289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673481600000",
"number": "1851422281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 PINE AVE # 246",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024718",
"telephone_number": "760-217-0492",
"fax_number": "562-349-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10722 ARROW RTE STE 512",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304840",
"telephone_number": "818-913-9940",
"fax_number": "562-349-0457"
}
],
"practiceLocations": [
{
"address_1": "4000 Empire Dr",
"address_2": "STE 100",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933090400",
"country_code": "US",
"telephone_number": "760-946-5177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHARLES TAYLOR MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-217-0492",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.