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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAYLOR RENEE BEARDT
NPI 1619717782
Physician Assistant - Surgical in Alhambra, CA

Active since May 28, 2024
1000 S FREMONT AVE BLDG A-11, ALHAMBRA, CA 91803(626) 457-4240 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Taylor Renee Beardt NPPES

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

TAYLOR RENEE BEARDT (NPI 1619717782) is an individual surgical provider in Alhambra, California, licensed in California (68604) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1619717782
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameTAYLOR RENEE BEARDT
Location Address1000 S FREMONT AVE BLDG A-11Alhambra, CA 91803-8800
Mailing Address4640 La Crescenta AveLa Crescenta, CA 91214-2916 · (818) 279-4620
Phone(626) 457-4240
Sole ProprietorYes
Enumeration DateMay 28, 2024
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1619717782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 68604
1000 S FREMONT AVE BLDG A-11, Alhambra, CA 91803
Open in Google Maps ↗

Other Names 1

Former Name (1)Taylor Renee Haas

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

WENDY BARRIENTOS
Student in an Organized Health Care Education/Training Program
1000 S FREMONT AVE BLDG A-11
ALHAMBRA, CA 91803
Los Angeles County (626) 457-4240
EMILY BAHAREH ZAGHI PA-S
Physician Assistant
1000 S FREMONT AVE BLDG A-11
ALHAMBRA, CA 91803
Los Angeles County (626) 457-4240
COLLEEN NICOLE KUREGHIAN
Behavior Technician
1000 S FREMONT AVE BLDG A-11
ALHAMBRA, CA 91803
Los Angeles County (626) 457-4240
ELLIOT YAMIN
Physician Assistant
1000 S FREMONT AVE BLDG A-11
ALHAMBRA, CA 91803
Los Angeles County (626) 457-4240
SYDNEY BARNUM
Student in an Organized Health Care Education/Training Program
1000 S FREMONT AVE BLDG A-11
ALHAMBRA, CA 91803
Los Angeles County (626) 457-4240
MACY ISHIDA
Physician Assistant
1000 S FREMONT AVE BLDG A-11
ALHAMBRA, CA 91803
Los Angeles County (626) 457-4240
JASMINE HATHANH NGUYEN
Student in an Organized Health Care Education/Training Program
1000 S FREMONT AVE BLDG A-11
ALHAMBRA, CA 91803
Los Angeles County (626) 457-4240
SARAH JESSICA JIMENEZ PA
Family Medicine
1000 S FREMONT AVE BLDG A-11
ALHAMBRA, CA 91803
Los Angeles County (805) 990-3878

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 Beardt's NPI number?

The NPI number for Taylor Beardt is 1619717782. It was assigned to this individual provider in the NPPES registry on May 28, 2024. The provider is also known as Taylor Renee Haas.

Where is Taylor Beardt located?

Taylor Beardt practices at 1000 S Fremont Ave Bldg A-11, Alhambra, CA 91803. The listed phone number is (626) 457-4240.

What is Taylor Beardt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Taylor Beardt was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.