Individual provider Active NPI

Vanessa M.L. Taylor, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Chino Hills, CA
National Provider Identifier
1942235668
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4258 Issued in CA
Practice address
15944 Los Serranos Country Club Dr Ste 130
Chino Hills, CA 91709-3254
Phone
(909) 287-0677
Fax
(909) 631-2919
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4258 CA Primary

Addresses

Primary practice location

15944 Los Serranos Country Club Dr Ste 130
Chino Hills, CA 91709-3254

Mailing address

15944 Los Serranos Country Club Dr Ste 130
Chino Hills, CA 91709-3254
Phone (909) 287-0677

Other practice location 1

5827 Pine Ave. Building 12 Unit A
Chino Hills Podiatry Group, Inc
Chino Hills, CA 91709
Phone (909) 287-0677

Other identifiers 5

IdentifierTypeStateIssuer
000E42580MedicaidCA
E4258OtherCASTATE LICENSE
5065080001OtherCANORDIAN ID
81-0644182OtherCATAX ID
834623340OtherCATAX ID

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617001319 CA Practitioner - Podiatry 3476440397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15944 Los Serranos Country Club Dr
Suite 130
Chino Hills, CA 91709-3254
Phone (909) 287-0677

Hospital & facility affiliations

  • Brightlane Healthcare, Inc. Home health agency, Montclair, CA, CCN 559655
  • Lorian Health Home health agency, Riverside, CA, CCN 059464
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue125
Removal of nail tissue972
Removal or shaving of skin growth564
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4258CAMDFoot & Ankle Surgery Podiatrist
4258CAMDOccupational Therapy Assistant
4298CAMDAudiology Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa Taylor DPM Inc Foot & Ankle Surgery CurrentSince Jan 13, 2020 Accepting new patients
Family Foot Center Podiatry Group Inc. Past Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Primecare Medical Group Past Accepting new patients

Locations

15944 Los Serranos Country Club Dr
Ste 1
Chino Hills, CA 91709

15944 Los Serranos Country Club Dr
Ste 130
Chino Hills, CA 91709
Phone (909) 287-0677

15944 Los Serranos Country Club Dr
Chino Hills, CA 91709
Phone (909) 287-0677

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vanessa.taylor.1@20771.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1942235668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 130",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093254",
            "telephone_number": "909-287-0677",
            "fax_number": "909-631-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 130",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093254",
            "telephone_number": "909-287-0677",
            "fax_number": "909-631-2919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5827 Pine Ave. Building 12 Unit A",
            "address_2": "Chino Hills Podiatry Group, Inc",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "91709",
            "country_code": "US",
            "telephone_number": "909-287-0677",
            "fax_number": "909-287-0679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "VANESSA",
        "middle_name": "M.L.",
        "name_prefix": "Ms.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E42580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E4258",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORDIAN ID",
            "identifier": "5065080001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "81-0644182",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "834623340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.