Individual provider Active NPI

Brian Steven Taylor, M.D.

  • Psychiatry Physician
  • Ventura, CA
National Provider Identifier
1992905723
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G75540 Issued in CA
Practice address
3585 Maple St
Suite # 205
Ventura, CA 93003-3504
Phone
(805) 654-0926
Fax
(805) 654-0949
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G75540 CA Primary

Addresses

Primary practice location

3585 Maple St
Suite # 205
Ventura, CA 93003-3504

Mailing address

3585 Maple St
Suite # 205
Ventura, CA 93003-3504
Phone (805) 654-0926

Other identifiers 1

IdentifierTypeStateIssuer
G75540OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75540CAMDClinical Social Worker
G75540CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tandem Psychiatric Health, Advanced Nursing Practice Inc. PastSince Mar 17, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1992905723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST",
            "address_2": "SUITE # 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033504",
            "telephone_number": "805-654-0926",
            "fax_number": "805-654-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST",
            "address_2": "SUITE # 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033504",
            "telephone_number": "805-654-0926",
            "fax_number": "805-654-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRIAN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G75540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G75540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.