Individual provider Active NPI

Taylor Holdgrafer

  • Physician Assistant
  • Atascadero, CA
National Provider Identifier
1972037943
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54612 Issued in CA
Practice address
6955 El Camino Real Ste 101
Atascadero, CA 93422-4216
Phone
(805) 539-2031
Fax
(805) 539-2032
NPI assigned
Apr 17, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54612 CA Primary

Addresses

Primary practice location

6955 El Camino Real Ste 101
Atascadero, CA 93422-4216

Mailing address

6955 El Camino Real Ste 101
Atascadero, CA 93422-4216
Phone (805) 539-2031

Other practice location 1

480 N Catalina Ave
Unit 302
Pasadena, CA 91106-5218
Phone (805) 234-6979

Other practice location 2

480 N Catalina Ave
Unit 302
Pasadena, CA 91106-5218
Phone (805) 234-6979

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911001150 CA Practitioner - Physician Assistant 7416220694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Southern California Keck School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1445 Ross Ave
Suite 1400
Dallas, TX 75202-2740

1530 E Chevy Chase Dr
Suite 203
Glendale, CA 91206-4194

PO Box
Suite 888794
Los Angeles, CA 90088-8794

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Mar 29, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Oct 23, 2017 Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 29, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Oct 23, 2017 Accepting new patients
First Choice Physician Partners Past Accepting new patients
Twin Cities Community Hospital, Inc. Past Accepting new patients

Locations

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

6955 El Camino Real
Ste 101
Atascadero, CA 93422
Phone (805) 539-2031

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

1220 Las Tablas Rd
#1418
Templeton, CA 93465
Phone (805) 434-1825

Interoperability endpoints

  • Direct secure messaging: taylor.holdgrafer.1@31068.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972037943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 EL CAMINO REAL STE 101",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224216",
            "telephone_number": "805-539-2031",
            "fax_number": "805-539-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 EL CAMINO REAL STE 101",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224216",
            "telephone_number": "805-539-2031",
            "fax_number": "805-539-2032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 N Catalina Ave",
            "address_2": "Unit 302",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911065218",
            "country_code": "US",
            "telephone_number": "805-234-6979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 N Catalina Ave",
            "address_2": "Unit 302",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911065218",
            "country_code": "US",
            "telephone_number": "805-234-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDGRAFER",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.