DR. RANDY TAYLOR (NPI# 1750490702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750490702 |
| Entity Type | Individual |
| Full Name | DR. RANDY TAYLOR |
| Credential | M.D. |
| Practice Address |
565 N. Mt. Vernon Ave. San Bernardino CA 92411-2661 |
| Mailing Address |
685 Carnegie Dr., Ste 230 San Bernardino CA 92408-3583 |
| Practice Telephone | 9098849091 |
| Practice Fax Number | 9093737013 |
| Mailing Telephone | 9098900407 |
| Mailing Fax Number | 9098900575 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C42157 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 3987 | AK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003933789 | Randy B Taylor | Home Health Aide | 48685 Dewey Ave, Saint Clairsville, OH 43950-9656 | 2007-03-26 |
| 1649778820 | Randy Taylor | Physical Therapy Assistant | 1101 Vine St, Scranton, PA 18510-2126 | 2018-01-23 |
| 1083726160 | Randy Taylor | Specialist | 7851 S Elati St Ste 102, Littleton, CO 80120-8081 | 2006-08-31 |
| Street Address |
565 N. MT. VERNON AVE. |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457667370 | Valerie Jean Sanders | Physician Assistant | 565 N. Mt. Vernon Ave., San Bernardino, CA 92411-2661 | 2010-08-30 |
| 1447388251 | Lasalle Medical Associates | Clinic/Center | 565 N. Mt. Vernon Ave., San Bernardino, CA 92411-2661 | 2007-03-01 |
| 1235215195 | Usanee Vongchanphen Sanders | Pediatrics | 565 N. Mt. Vernon Ave., San Bernardino, CA 92411 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194369553 | Magdi Elsaadi M.d. A Professional Medical Corporation | Internal Medicine | 1738 N Waterman Ave Ste 7, San Bernardino, CA 92404-5131 | 2019-10-29 |
| 1861956971 | New Age Gastroenterology, Inc. | Internal Medicine | 245 E Redlands Blvd Ste K, San Bernardino, CA 92408-3760 | 2019-01-23 |
| 1750887535 | Cajon Medical Group PC | Internal Medicine | 1800 Medical Center Dr Ste 300, San Bernardino, CA 92411-1241 | 2018-04-02 |
| 1992013270 | Hector Salemi-castro Md, Inc | Internal Medicine | 1800 Western Ave Ste 302, San Bernardino, CA 92411-1354 | 2010-09-20 |
| 1023323870 | Dewar Medical Group Inc | Internal Medicine | 399 E Highland Ave Ste 124, San Bernardino, CA 92404-3854 | 2010-08-17 |
| 1528381878 | Arshad Sial Md, Inc. | Internal Medicine | 399 E Highland Ave, Ste 110, San Bernardino, CA 92404-3842 | 2010-03-01 |
| 1124251632 | Precise Health | Internal Medicine | 165 W Hospitality Ln Ste 101, San Bernardino, CA 92408-3334 | 2009-08-31 |
| 1952425316 | Yolanda A Mickevicius Ruokis | Internal Medicine | 5500 University Parkway, California State University San Bernardino Student Hlth, San Bernardino, CA 92407-2397 | 2007-03-19 |
| 1053487504 | Yangrob's Medical Inc | Internal Medicine | 2619 S Waterman Ave, Suite E, San Bernardino, CA 92408-3737 | 2006-11-27 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
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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.