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TAYLOR TIDWELL MD
NPI 1013603588
Student in an Organized Health Care Education/Training Program in Orange, CA

Active since April 17, 2023PECOS Enrolled
101 THE CITY DR S, ORANGE, CA 92868(714) 456-7890 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Taylor Tidwell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR TIDWELL MD (NPI 1013603588) is an individual student in an organized health care education/training program in Orange, California and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1013603588
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTAYLOR TIDWELLCredential: MD
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing Address3800 W Chapman Ave Ste 7300Orange, CA 92868-1638
Phone(714) 456-7890
Sole ProprietorNo
Enumeration DateApril 17, 2023
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1013603588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 THE CITY DR S, Orange, CA 92868
Open in Google Maps ↗

Secondary Practice Location 1

Location 15901 E 7th StLong Beach, CA 90822-5201 · Phone (562) 826-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Tidwell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANKIT BHUPENDRA PATEL D.O.
Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-5113
DR. LAURA CATHERINE SKOCZYLAS MD
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Orange County (714) 456-8224
MICHAEL CHENG DO
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7110
AESTHETIC AND PLASTIC SURGERY INSTITUTE
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-2986
JOSEPH VILLARREAL M.D.
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Orange County (714) 456-5239
DEMI TRAN
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Orange County (171) 456-6693
DR. ISABEL CARLTON CLARK M.D.
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7890
DYLAN LUKATO
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868
Orange County (415) 218-8041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Tidwell's NPI number?

The NPI number for Taylor Tidwell is 1013603588. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Taylor Tidwell located?

Taylor Tidwell practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-7890.

What is Taylor Tidwell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Taylor Tidwell enrolled in Medicare?

Yes. Taylor Tidwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taylor Tidwell was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.