Active NPI
Sandra J Taylor, MD
- Surgery Physician
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 16961
- Practice address
- 1375 Vista LN
Carson City, NV 89703-4643 - Phone
- (775) 882-2067
- Fax
- (775) 882-3706
- NPI assigned
- Nov 10, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A84688 | CA | |
| Surgery Physician | 208600000X | 16961 | NV | Primary |
Addresses
Primary practice location
1375 Vista LN
Carson City, NV 89703-4643
Mailing address
1375 Vista LN
Carson City, NV 89703-4643
Phone (775) 882-2067
Other practice location 1
1667 Lucerne St Ste A
Minden, NV 89423-4360
Phone (775) 882-2067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Colorado School of Medicine, Denver, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1310 W Granger Ave
Modesto, CA 95350-3911
Phone (858) 967-3070
2045 Silverada Blvd
Reno, NV 89512-2051
Phone (775) 359-3161
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 68 |
| Removal of skin lesions | 12 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84688 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent Wound Care Inc | Current | Accepting new patients | |
| Barton Healthcare System | Surgery | Current | Accepting new patients |
| Barton Healthcare System | Current | Accepting new patients | |
| Thomas King Halow MDS LTD | Surgery | Current | Accepting new patients |
| Crescent Wound Care Inc | Current | Accepting new patients | |
| Crescent Wound Care Inc | Past | Accepting new patients |
Locations
442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311
5265 E Huntington Ave
Fresno, CA 93727
Phone (559) 251-8244
5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119
1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659
3860 Saddle Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5575
1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762
1375 Vista Ln
Carson City, NV 89703
Phone (775) 786-4200
1667 Lucerne St
Ste A
Minden, NV 89423
Phone (775) 782-9118
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1841920501
-
- Surgery Physician
- Carson City, NV
- NPI 1750404182
-
- Family Medicine Physician
- Modesto, CA
- NPI 1285409540
-
- Family Medicine Physician
- South Lake Tahoe, CA
- NPI 1508865528
-
- Emergency Medicine Physician
- Twin Bridges, CA
- NPI 1114033529
-
- Family Medicine Physician
- The Dalles, OR
- NPI 1942177548
-
- Obstetrics & Gynecology Physician
- Spencer, TN
- NPI 1538957436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1922089408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 VISTA LN",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034643",
"telephone_number": "775-882-2067",
"fax_number": "775-882-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 VISTA LN",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034643",
"telephone_number": "775-882-2067",
"fax_number": "775-882-3706"
}
],
"practiceLocations": [
{
"address_1": "1667 Lucerne St Ste A",
"address_purpose": "LOCATION",
"city": "Minden",
"state": "NV",
"postal_code": "894234360",
"country_code": "US",
"telephone_number": "775-882-2067",
"fax_number": "775-882-3706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "SANDRA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A84688",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "16961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.