Larisa Taylor, MD | |
1661 Soquel Dr, Suite A, Santa Cruz, CA 95065-1709 | |
(831) 476-7676 | |
(831) 476-4824 |
Full Name | Larisa Taylor |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1661 Soquel Dr, Santa Cruz, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154499192 | NPI | - | NPPES |
BT8050255 | Other | LIC | |
00G358690 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A80736 (California) | Secondary |
207V00000X | Obstetrics & Gynecology | BT8050255 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Obhg California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
Mailing Address | Practice Location Address |
---|---|
Larisa Taylor, MD 5610 Scotts Valley Dr, B221, Scotts Valley, CA 95066-3473 Ph: () - | Larisa Taylor, MD 1661 Soquel Dr, Suite A, Santa Cruz, CA 95065-1709 Ph: (831) 476-7676 |
Stuart Allen Mumm, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1661 Soquel Dr, Suite A, Santa Cruz, CA 95065 Phone: 831-476-7676 Fax: 831-476-4824 | |
Mr. Henry Milton Pearce, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 101 Mooee St., Santa Cruz, CA 95060 Phone: 831-429-5441 | |
Dr. Lindsay Mitchell Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 100 Doyle St, Suite E, Santa Cruz, CA 95062 Phone: 831-458-0901 Fax: 831-458-0659 | |
Karen L Wang, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1505 Soquel Dr Ste 1, Santa Cruz, CA 95065 Phone: 831-465-5440 Fax: 831-462-2017 | |
Dr. Michelle Marie Sablan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1505 Soquel Dr Ste 1, Santa Cruz, CA 95065 Phone: 831-465-5440 Fax: 831-462-2017 | |
Martina Nicholson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1661 Soquel Dr, Suite A, Santa Cruz, CA 95065 Phone: 831-476-7676 Fax: 831-476-4824 |