Active NPI
Sherry L. Taylor, M.D., PH.D
- Neurological Surgery Physician
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4301084658
- Practice address
- 1860 Pennsylvania Ave
Suite 320
Fairfield, CA 94533-3590 - Phone
- (707) 646-4370
- Fax
- (707) 646-4904
- NPI assigned
- Nov 21, 2006
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 4301084658 | MI | Primary |
| Neurological Surgery Physician | 207T00000X | G69273 | CA |
Addresses
Primary practice location
1860 Pennsylvania Ave
Suite 320
Fairfield, CA 94533-3590
Mailing address
1860 Pennsylvania Ave
Suite 320
Fairfield, CA 94533-3590
Phone (707) 646-4370
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of California, Davis School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Nut Tree Rd
Suite 260 270 and 290
Vacaville, CA 95687-4100
Phone (707) 624-8290
1860 Pennsylvania Ave
Suite 320
Fairfield, CA 94533-3550
Phone (707) 646-4370
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69273 | CA | MD | Neurological Surgery Physician |
| 69273 | CA | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Health Medical Foundation | Current | Accepting new patients | |
| Northbay Physicians Surgery Center LLC | Past | Accepting new patients |
Locations
1860 Pennsylvania Ave
Ste 320
Fairfield, CA 94533
Phone (707) 260-5719
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999
101 Main St
Winters, CA 95694
Phone (530) 795-4123
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/
Organizations & group practices 5
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.
-
dba NorthBay Health Medical Network
- Internal Medicine Physician
- Fairfield, CA
- NPI 1760283527
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
dba NorthBay VacaValley Hospital
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
-
dba NorthBay Health Urgent Care
- Addiction Medicine (Psychiatry & Neurology) Physician
- Fairfield, CA
- NPI 1780736736
-
dba The Surgery Center
- Ambulatory Surgical Clinic/Center
- Vacaville, CA
- NPI 1003015843
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1942375688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PENNSYLVANIA AVE",
"address_2": "SUITE 320",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333590",
"telephone_number": "707-646-4370",
"fax_number": "707-646-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 PENNSYLVANIA AVE",
"address_2": "SUITE 320",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333590",
"telephone_number": "707-646-4370",
"fax_number": "707-646-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SHERRY",
"middle_name": "L.",
"credential": "M.D., PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301084658",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G69273",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.