Individual provider Active NPI

Taylor Snow

  • Physician Assistant
  • Hollister, CA
National Provider Identifier
1891165403
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
59653 Issued in CA
Practice address
591 McCray St Ste 231
Hollister, CA 95023-2224
Phone
(831) 636-3116
Fax
(831) 636-3116
NPI assigned
Sep 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Physician Assistant 363A00000X 59653 CA Primary

Addresses

Primary practice location

591 McCray St Ste 231
Hollister, CA 95023-2224

Mailing address

591 McCray St Ste 231
Hollister, CA 95023-2224
Phone (831) 636-3116

Other practice location 1

911 Sunset Dr
Hollister, CA 95023-5606
Phone (831) 623-4615

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
I20230418001935 CA Practitioner - Physician Assistant 1557736865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

384 Pearson Dr
Porterville, CA 93257-3368
Phone (559) 625-4118

591 McCray St
Hollister, CA 95023-2224
Phone (831) 636-3116

Hospital & facility affiliations

  • Bonita Springs Home Health LLC Home health agency, Gilroy, CA, CCN 053142
  • Hazel Hawkins Memorial Hospital Hospital, Hollister, CA, CCN 051337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59653CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jun 18, 2024 Accepting new patients
Bass Medical Group CurrentSince Jun 18, 2024 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

243 Green Valley Rd
Ste B
Freedom, CA 95019
Phone (831) 724-9449

591 McCray St
Ste 231
Hollister, CA 95023
Phone (831) 636-3116

591 McCray St
Ste 211
Hollister, CA 95023
Phone (831) 636-3116

384 Pearson Dr
Porterville, CA 93257
Phone (559) 781-5179

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

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

Interoperability endpoints

  • Direct secure messaging: taylor.snow.1@25176.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1891165403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST STE 231",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-636-3116",
            "fax_number": "831-636-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST STE 231",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-636-3116",
            "fax_number": "831-636-3116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Hollister",
            "state": "CA",
            "postal_code": "950235606",
            "country_code": "US",
            "telephone_number": "831-623-4615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOW",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.