Tristan T Taylor, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Rancho Cascades, California. He graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Sud Specialty Group - Ca and his current practice location is
16605 Foothill Blvd Apt 205, Rancho Cascades, California. You can reach out to his office (for appointments etc.) via phone at
(213) 267-2537.
Tristan T Taylor is licensed to practice in California (license number LCSW109536) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811624208.
Healthcare Provider's Profile
| Full Name | Tristan T Taylor |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 16605 Foothill Blvd Apt 205, Rancho Cascades, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tristan T Taylor graduated from medical school in 2017
NPI Data:
- NPI Number: 1811624208
- Provider Enumeration Date: 08/04/2022
- Last Update Date: 08/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 3274033832
- Enrollment ID: I20250826005118
Medical Identifiers
Medical identifiers for Tristan T Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811624208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | LCSW109536 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sud Specialty Group - Ca | 9537534177 | 456 |
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. Tristan T Taylor 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 Address | Practice Location Address |
Tristan T Taylor, LCSW 16605 Foothill Blvd Apt 205, Rancho Cascades, CA 91342-1170 Ph: (213) 267-2537 | Tristan T Taylor, LCSW 16605 Foothill Blvd Apt 205, Rancho Cascades, CA 91342-1170 Ph: (213) 267-2537 |
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