JEFFREY R. TAYLOR, MD, INC. (NPI# 1598124877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598124877 |
| Entity Type | Organization |
| Organization Name | JEFFREY R. TAYLOR, MD, INC. |
| Practice Address |
1190 W. Baker Street Suite 103 Costa Mesa CA 92626-4105 |
| Mailing Address |
Po Box 3649 Newport Beach CA 92659-8649 |
| Practice Telephone | 7146682525 |
| Practice Fax Number | 7146682530 |
| Mailing Telephone | 6572413600 |
| Mailing Fax Number | 6572417708 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | DR. JEFFREY R TAYLOR (OWNER) |
| Authorized Official Telephone | 7146682525 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
48928 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1190 W. BAKER STREET SUITE 103 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619194107 | Sara Tran Hong Chau | Family Medicine | 1190 W. Baker Street, Suite 100, Costa Mesa, CA 92626 | 2007-04-19 |
| 1861605461 | Nazli Ahmed | Family Medicine | 1190 W. Baker Street, Suite 100, Costa Mesa, CA 92626-4105 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013306638 | Peri Ozkum Gunay Md A Professional Corporation | Pediatrics | 1190 Baker St, 103, Costa Mesa, CA 92626-4108 | 2015-01-20 |
| 1255584769 | Leila M. Iravani, M.d., Inc | Pediatrics | 1640 Newport Blvd, Suite 320, Costa Mesa, CA 92627-3786 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986107 | School Health Clinics of Santa Clara County | Pediatrics | 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 | 2019-05-06 |
| 1669927125 | Irvine Doctors of Kids and Teens | Pediatrics | 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 | 2016-08-24 |
| 1043673270 | Alexander S Golec | Pediatrics | 3333 California St Ste 245, San Francisco, CA 94118-6210 | 2016-04-04 |
| 1710360094 | Jennifer Johnson, M.d., A Professional Corporation | Pediatrics | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 | 2015-07-03 |
| 1902290448 | Brittany Kathleen Badal | Pediatrics | 2330 Post St Ste 219, San Francisco, CA 94115-3465 | 2015-03-23 |
| 1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
| 1184035032 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 | 2014-05-14 |
| 1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
| 1578804084 | Eleanor S. Blatt | Pediatrics | 212 20th St, Huntington Beach, CA 92648-3914 | 2013-03-07 |
| 1053676619 | Gladys Hope Dadivas Yerro | Pediatrics | 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 | 2012-07-10 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.