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DR. NICHOLAS KENJI TAYLOR MD
NPI 1699156281
Family Medicine in Oakland, CA

Active since June 09, 2015PECOS Enrolled
9925 INTERNATIONAL BLVD, OAKLAND, CA 94603(510) 777-1177 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Jun 9, 2025, Jan 26, 2023 and 2 more (5 updates tracked since 2018).

About Dr. Nicholas Kenji Taylor Md NPPES

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

DR. NICHOLAS KENJI TAYLOR MD (NPI 1699156281) is an individual family medicine provider in Oakland, California, licensed in California (A144643) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2015).

NPPES Registry Identity

NPI1699156281
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICHOLAS KENJI TAYLORCredential: MD
Location Address9925 INTERNATIONAL BLVDOakland, CA 94603-2558
Mailing Address1944 108th AveOakland, CA 94603-3912
Phone(510) 777-1177
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2015
Enumeration DateJune 9, 2015
Last NPPES UpdateApril 30, 20265 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1699156281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A144643✔ Licensed in GU · M-2473
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License M-2473 (GU)
9925 INTERNATIONAL BLVD, Oakland, CA 94603
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Secondary Practice Location 1

Location 11944 108th AveOakland, CA 94603-3912 · Phone (814) 795-9500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9133495872
PECOS Enrollment IDI20250724002450
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SYNOUN RIN
Community Health Worker
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-1177
KYE DUREN
Case Management
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-1177
ANDREW THOMAS SANTANIELLO APCC
Counselor (Mental Health)
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 916-5815
CENTER FOR FAMILY COUNSELING
Community/Behavioral Health
9925 INTERNATIONAL BLVD, 6
OAKLAND, CA 94603
Alameda County (510) 562-3731
ROOTS COMMUNITY HEALTH CENTER
Clinic/Center (Primary Care)
9925 INTERNATIONAL BLVD, #5
OAKLAND, CA 94603
Alameda County (510) 777-1177
LATRINA DUMAS
Case Manager/Care Coordinator
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 916-0430
MS. GEORGINA GISELLE GRIMM FNP
Nurse Practitioner (Family)
9925 INTERNATIONAL BLVD, #5
OAKLAND, CA 94603
Alameda County (510) 777-1177
TAVARE WILLIAMS SR.
Case Manager/Care Coordinator
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 998-8303

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 Nicholas Taylor's NPI number?

The NPI number for Nicholas Taylor is 1699156281. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Nicholas Taylor located?

Nicholas Taylor practices at 9925 International Blvd, Oakland, CA 94603. The listed phone number is (510) 777-1177.

What is Nicholas Taylor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicholas Taylor enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicholas Taylor was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.