Basic Information
| Provider Information | |||||||||
| NPI: | 1487643193 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TAYLOR | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | ANTHONY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2403 CASTILLO ST STE 206 | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931055316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8058952448 | ||||||||
| FaxNumber: | 8338333450 | ||||||||
| Practice Location | |||||||||
| Address1: | 1700 N ROSE AVE STE 470 | ||||||||
| Address2: | |||||||||
| City: | OXNARD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930307659 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8059882775 | ||||||||
| FaxNumber: | 8052781220 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2005 | ||||||||
| LastUpdateDate: | 08/30/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | C130196 | CA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | 2084N0400X | 49622 | MN | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | 2084V0102X | 49622 | MN | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Vascular Neurology | 208600000X | C130196 | CA | N | Allopathic & Osteopathic Physicians | Surgery | 207T00000X | C130196 | CA | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.