JEFFREY R TAYLOR M.D.
NPI 1295767812
Pediatrics - Adolescent Medicine in Costa Mesa, CA

Active since July 06, 2006CLIA 05D2028319 · Waiver
1190 W. BAKER STREET STE 103, COSTA MESA, CA 92626(714) 668-2525(714) 668-2530 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2026, Oct 20, 2023, Jun 9, 2022 and 3 more (6 updates tracked since 2016).

About Jeffrey R Taylor M.d. NPPES

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

JEFFREY R TAYLOR M.D. (NPI 1295767812) is an individual adolescent medicine provider in Costa Mesa, California, licensed in California (A70382) and active in the NPI registry since July 2006. He holds a CLIA Waiver certificate valid through August 14, 2027.

NPPES Registry Identity

NPI1295767812
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameJEFFREY R TAYLORCredential: M.D.
Location Address1190 W. BAKER STREET STE 103Costa Mesa, CA 92626
Mailing AddressPo Box 2405Suisun City, CA 94585-5405 · (657) 241-3600 · Fax (657) 241-7708
Fax(714) 668-2530
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 25, 20266 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
NPI 1295767812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in CA · A70382
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X · License A70382 (CA)
1190 W. BAKER STREET STE 103, Costa Mesa, CA 92626

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2028319

Jeffrey R. Taylor, M.D. · Costa Mesa, CA
Active · expires Aug 14, 2027
CLIA Number05D2028319
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorTaylor R. Taylor
Laboratory Phone(714) 668-2525
Laboratory LocationJeffrey R. Taylor, M.D.1190 Baker Street, # 103, Costa Mesa, CA 92626
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Pediatrics (Adolescent Medicine)
1190 W. BAKER STREET STE 103
COSTA MESA, CA 92626
Pediatrics (Adolescent Medicine)
1190 W. BAKER STREET STE 103
COSTA MESA, CA 92626
Pediatrics
1190 W. BAKER STREET STE 103
COSTA MESA, CA 92626
Pediatrics (Adolescent Medicine)
1190 W. BAKER STREET STE 103
COSTA MESA, CA 92626
Pediatrics (Adolescent Medicine)
1190 W. BAKER STREET STE 103
COSTA MESA, CA 92626

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 Jeffrey Taylor's NPI number?

The NPI number for Jeffrey Taylor is 1295767812. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Jeffrey Taylor located?

Jeffrey Taylor practices at 1190 W. Baker Street Ste 103, Costa Mesa, CA 92626. The listed phone number is (714) 668-2525.

What is Jeffrey Taylor's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Jeffrey Taylor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2028319) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jeffrey Taylor was last updated on March 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.