Active NPI
Vanessa M.L. Taylor, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Chino Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4258
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E42580 | Medicaid | CA | |
| E4258 | Other | CA | STATE LICENSE |
| 5065080001 | Other | CA | NORDIAN ID |
| 81-0644182 | Other | CA | TAX ID |
| 834623340 | Other | CA | TAX 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
Enrollment records 1
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.
- Lorian Health
- San Antonio Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 125 |
| Removal of nail tissue | 972 |
| Removal or shaving of skin growth | 564 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4258 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 4258 | CA | MD | Occupational Therapy Assistant |
| 4298 | CA | MD | Audiology Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanessa Taylor DPM Inc | Foot & Ankle Surgery | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Chino Hills, CA
- NPI 1841811940
-
- Podiatrist
- Ontario, CA
- NPI 1235332396
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1093720427
-
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Montclair, CA
- NPI 1487203832
-
- Home Health Agency
- Riverside, CA
- NPI 1578882833
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.