| Mr Randal Trent Taylor, MSN, FNP-C, RN, EMTP | |
|
100 E North St, Taft, CA 93268-3606 | |
| (661) 765-1935 | |
| Not Available |
| Full Name | Mr Randal Trent Taylor |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 100 E North St, Taft, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013502343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95016893 (California) | Primary |
| Entity Name | West Side Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992142277 PECOS PAC ID: 2769625540 Enrollment ID: O20130826001062 |
| Entity Name | Grand Avenue Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962913632 PECOS PAC ID: 7315206653 Enrollment ID: O20180112002313 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Randal Trent Taylor, MSN, FNP-C, RN, EMTP 100 E North St, Taft, CA 93268-3606 Ph: (661) 765-1935 | Mr Randal Trent Taylor, MSN, FNP-C, RN, EMTP 100 E North St, Taft, CA 93268-3606 Ph: (661) 765-1935 |
Heather Keith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 E North St, Taft, CA 93268 Phone: 661-765-1935 Fax: 661-765-1928 | |
Desiree Jayne Leal, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 6th St, Taft, CA 93268 Phone: 661-763-5131 Fax: 661-763-5137 | |
Mrs. Heather Bosma, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 E North St, Taft, CA 93268 Phone: 661-765-1935 Fax: 661-765-1928 | |
Elizabeth Marie Bell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Adkisson Way, Taft, CA 93268 Phone: 661-765-7234 | |
Ms. Janice Lee Ashley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 4th St, Taft, CA 93268 Phone: 661-765-5044 |