MR. TOM ROY TAYLOR (NPI# 1275193591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275193591 |
| Entity Type | Individual |
| Full Name | MR. TOM ROY TAYLOR |
| Practice Address |
1370 S State St Ste B San Jacinto CA 92583-4922 |
| Practice Telephone | 9517913596 |
| Practice Fax Number | 9517913397 |
| Mailing Telephone | 9517913596 |
| Mailing Fax Number | 9517913397 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| Street Address |
1370 S STATE ST STE B |
| City | SAN JACINTO |
| State | CA |
| Zip Code | 92583-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205137031 | Stephanie Kay Hakker | Case Manager/Care Coordinator | 1370 S State St Ste B, San Jacinto, CA 92583-4916 | 2010-11-10 |
| 1689290926 | Abbigail Pereyra | Community Health Worker | 1370 S State St Ste B, San Jacinto, CA 92583-4922 | 2020-06-23 |
| 1235617937 | Renee Ann Horton | Registered Nurse | 1370 S State St Ste B, San Jacinto, CA 92583-4922 | 2018-08-03 |
| 1518471317 | Connie L Lee | Registered Nurse | 1370 S State St Ste B, San Jacinto, CA 92583-4922 | 2017-12-01 |
| 1134638570 | Jill Flores | Peer Specialist | 1370 S State St Ste B, San Jacinto, CA 92583-4922 | 2017-09-28 |
| 1679007538 | Laurance Lewis | Peer Specialist | 1370 S State St Ste B, San Jacinto, CA 92583-4922 | 2017-04-18 |
| 1700213162 | Rita Marie De Paz | Case Management | 1370 S State St Ste B, San Jacinto, CA 92583-4922 | 2013-10-01 |
| 1174959092 | Candy Rose Perryman | Social Worker | 1370 S State St Ste B, San Jacinto, CA 92583-4922 | 2013-09-24 |
| 1720366784 | Victoria Sue Skog | Counselor | 1370 S State St Ste B, San Jacinto, CA 92583-4933 | 2011-07-25 |
| 1639397607 | Isabel Cristina Akerlundh | Marriage & Family Therapist | 1370 S State St Ste B, San Jacinto, CA 92583-4916 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1295399632 | Suhaila Mahjabeen Arif | Student in an Organized Health Care Education/Training Program | 651 North State Street, San Jacinto, CA 92583 | 2019-04-30 |
| 1083146328 | United Family Pharmacy, LLC | Pharmacy | 1221 S. San Jacinto Ave, San Jacinto, CA 92583 | 2017-03-28 |
| 1699127118 | Matthew Siragusa | Dental Assistant | 792 Salinger Pl, San Jacinto, CA 92583 | 2016-07-08 |
| 1326431966 | Empire Mobility | Durable Medical Equipment & Medical Supplies | 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 | 2015-03-06 |
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1770831489 | Neelam Gupta M.d. Inc. | Clinic/Center | 343 E Main Street, 106, San Jacinto, CA 92583 | 2012-08-28 |
| 1407154040 | Elizabeth Santillana Contla | Registered Nurse | 1370 S. State Street, Ste B, San Jacinto, CA 92583 | 2011-03-07 |
| 1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
| 1851525315 | Lydia Meria Reece | Physician Assistant | 229 West 7th Street, San Jacinto, CA 92583 | 2009-05-12 |
| Find all providers in zip 92583 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278131 | Lisa Dawn Elkins | Peer Specialist | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2020-05-28 |
| 1972160182 | Joy Lynn Ritchie | Peer Specialist | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2019-05-22 |
| 1356813026 | Laura Noonan Cavins | Peer Specialist | 102 W Main St, San Jacinto, CA 92583-4121 | 2018-12-19 |
| 1619465127 | Deidre Ashley Barriger | Peer Specialist | 102 W Main St, San Jacinto, CA 92583-4121 | 2018-04-30 |
| 1134638570 | Jill Flores | Peer Specialist | 1370 S State St Ste B, San Jacinto, CA 92583-4922 | 2017-09-28 |
| 1366968349 | Brenda Avila | Peer Specialist | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2017-08-21 |
| 1679007538 | Laurance Lewis | Peer Specialist | 1370 S State St Ste B, San Jacinto, CA 92583-4922 | 2017-04-18 |
| 1215482526 | Steve Desean Ross | Peer Specialist | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | SAN JACINTO |
| Zip Code | 92583 |
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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.