DR. CULLEN TAYLOR M.D.
NPI 1669908463
Otolaryngology - Facial Plastic Surgery in Oakland, CA

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
3600 BROADWAY, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2020, Apr 1, 2019, May 11, 2017 (3 updates tracked since 2017).

About Dr. Cullen Taylor M.d. NPPES

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

DR. CULLEN TAYLOR M.D. (NPI 1669908463) is an individual facial plastic surgery provider in Oakland, California, licensed in California (A191090) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2017).

NPPES Registry Identity

NPI1669908463
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. CULLEN TAYLORCredential: M.D.
Location Address3600 BROADWAYOakland, CA 94611-5730
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5452 · (480) 301-8000
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateSeptember 27, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
NPI 1669908463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Licenses Licensed in CA · A191090 Licensed in TX · T6054 Licensed in AZ · 59340
Definition
An otolaryngologist who specializes in facial plastic surgery.
3600 BROADWAY, Oakland, CA 94611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Cullen Taylor M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709157936
PECOS Enrollment IDI20231204000931
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.

Internal Medicine
3600 BROADWAY
OAKLAND, CA 94611
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Psychiatry & Neurology (Psychiatry)
3600 BROADWAY
OAKLAND, CA 94611
Respiratory Therapist, Registered
3600 BROADWAY
OAKLAND, CA 94611
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Physical Medicine & Rehabilitation
3600 BROADWAY
OAKLAND, CA 94611

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 Cullen Taylor's NPI number?

The NPI number for Cullen Taylor is 1669908463. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Cullen Taylor located?

Cullen Taylor practices at 3600 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is Cullen Taylor's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Cullen Taylor enrolled in Medicare?

Yes. Cullen Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cullen Taylor was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.