Doctor Name: | JOHN KARL TAYLOR |
NPI Number: | 1477540896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G036151 |
Business Practice Address: | 4062 Flying C Rd Cameron Park, CA - 956829664 |
Business Phone Number: | 5306768234 |
Business Fax Number: | 5306760819 |
Mailing Address: | 4062 Flying C Rd, CAMERON PARK |
State: | CA |
Postal Code: | 956829664 |
Phone Number: | 5306768234 |
Fax Number: | 5306760819 |
NPI Enumeration Date: | 09/30/2005 |
NPI Last Update Date: | 04/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/21/2016 |
NPI Reactivation Date: | 04/08/2016 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | G036151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |