Glenhall Elmer Taylor IV, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A24733 Issued in CA

Practice address

2129 Magnolia Way
Walnut Creek, CA 94595-1618

Phone

(925) 262-3990

NPI assigned

Apr 2, 2024

Last updated

Dec 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Glenhall James Taylor Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dynamic Vitals IncGroup PAC ID 3577058320, 2 clinicians

Center for Cardiovascular Care a Medical CorporationGroup PAC ID 3779504485, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Center for Cardiovascular Care a Medical Corporation

  • Interventional Cardiology Physician
  • San Jose, CA
  • NPI 1518977958
  Medicare reassignment Care Compare group
• Dynamic Vitals, Inc.

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1124995642
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1982456133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 MAGNOLIA WAY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951618",
            "telephone_number": "925-262-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 MAGNOLIA WAY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951618",
            "telephone_number": "925-262-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GLENHALL",
        "middle_name": "ELMER",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101028948",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A24733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENHALL",
            "last_name": "TAYLOR",
            "middle_name": "JAMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alicia Taylor
• Brian Douglas Taylor, CRNA
• Camilla Taylor
• Craig Taylor
• Douglas M Taylor, DPM
• Katasha Taylor
• Korrie Taylor
• Loreal Treajetta Taylor, M.ED
• Morgan Taylor
• Nicholas Taylor

• General Practice Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.

Verify at the official NPI Registry.