Active NPI
Gretchen Collins Taylor, M. D.
- Otolaryngology Physician
- Camp Pendleton, CA
National Provider Identifier
1861460768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G68857
- Practice address
- PSC 477 Box 555191
US Naval Hospital Camp Pendleton
Camp Pendleton, CA 92055 - Phone
- (760) 725-1480
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G68857 | CA | Primary |
Addresses
Primary practice location
PSC 477 Box 555191
US Naval Hospital Camp Pendleton
Camp Pendleton, CA 92055
Mailing address
3191 Ora Avo Ter
Vista, CA 92084-6511
Phone (760) 599-5867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G68857 | CA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1861460768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3191 ORA AVO TER",
"city": "VISTA",
"state": "CA",
"postal_code": "920846511",
"telephone_number": "760-599-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PSC 477 BOX 555191",
"address_2": "US NAVAL HOSPITAL CAMP PENDLETON",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-725-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "GRETCHEN",
"middle_name": "COLLINS",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G68857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Pendleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.