Individual provider Active NPI

Sandra J Taylor, MD

  • Surgery Physician
  • Carson City, NV
National Provider Identifier
1922089408
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
16961 Issued in NV
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

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170419002784 CA Practitioner - General Surgery 4981770880 Reassigns benefits to 4 organizations
I20190403002784 NV Practitioner - General Surgery 4981770880 Reassigns benefits to 1 organization

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
Crescent Wound Care IncGroup PAC ID 3274914502, 29 clinicians

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 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue68
Removal of skin lesions12
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84688CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Wound Care Inc CurrentSince Nov 1, 2025 Accepting new patients
Barton Healthcare System Surgery Current Accepting new patients
Barton Healthcare System CurrentSince Jul 28, 2018 Accepting new patients
Thomas King Halow MDS LTD Surgery CurrentSince May 1, 2023 Accepting new patients
Crescent Wound Care Inc CurrentSince Nov 1, 2025 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.

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

Verify at the official NPI Registry.