Mr Antoine Vernell Taylor Sr, NP - Medicare Nurse Practitioner in Sherman Oaks, CA

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Mr Antoine Vernell Taylor Sr, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Sherman Oaks, California. His current practice location is 4550 Van Nuys Blvd Ste A4, Sherman Oaks, California. You can reach out to his office (for appointments etc.) via phone at (818) 514-3631.

Mr Antoine Vernell Taylor Sr is licensed to practice in California (license number 95010879) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205391356.

Contact Information

Mr Antoine Vernell Taylor Sr, NP
4550 Van Nuys Blvd Ste A4,
Sherman Oaks, CA 91403-2844
(818) 514-3631
(888) 972-1912

Map and Direction




Physician's Profile

Full NameMr Antoine Vernell Taylor Sr
GenderMale
SpecialityNurse Practitioner - Family
Location4550 Van Nuys Blvd Ste A4, Sherman Oaks, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205391356
  • Provider Enumeration Date: 02/04/2019
  • Last Update Date: 01/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224460787
  • Enrollment ID: I20191121001815

Medical Identifiers

Medical identifiers for Mr Antoine Vernell Taylor Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205391356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 95010879 (California)Secondary
363LF0000XNurse Practitioner - Family 95010879 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Antoine Vernell Taylor Sr allows following entities to bill medicare on his behalf.
Entity NameMichael S. Agron, M.d., Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699716100
PECOS PAC ID: 2668360736
Enrollment ID: O20040707000788
Entity NameEast Valley Emergency Medical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346287430
PECOS PAC ID: 3870579691
Enrollment ID: O20050506000210
Entity NameVictory Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932402716
PECOS PAC ID: 9133301732
Enrollment ID: O20110302000980
Entity NameCarbon Health Medical Group Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417294232
PECOS PAC ID: 9032340047
Enrollment ID: O20140314001276
Entity NameHospitalist Group Of Montebello Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578959318
PECOS PAC ID: 2264715143
Enrollment ID: O20170220002677
Entity NameLompoc Hospitalist Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891335717
PECOS PAC ID: 8426470832
Enrollment ID: O20200611002650

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Antoine Vernell Taylor Sr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Antoine Vernell Taylor Sr, NP
2920 Telegraph Ave Ste 100,
Berkeley, CA 94705-2031

Ph: (415) 549-0212		Mr Antoine Vernell Taylor Sr, NP
4550 Van Nuys Blvd Ste A4,
Sherman Oaks, CA 91403-2844

Ph: (818) 514-3631

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.