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

DOMINIQUE MARIE TAYLOR TAITT
NPI 1902609118
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Dominique Taitt's NPI number?

The NPI number for Dominique Taitt is 1902609118. It was assigned to this individual provider in the NPPES registry on March 31, 2025. The provider is also known as Dominique Marie Taylor MD.

Q: What is Dominique Taitt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dominique Taitt was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.

Active since March 31, 2025PECOS Enrolled

855 TIVERTON DRIVE, LOS ANGELES, CA 90095(310) 825-6373 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, Mar 31, 2025 (2 updates tracked since 2025).

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About Dominique Marie Taylor Taitt NPPES

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

DOMINIQUE MARIE TAYLOR TAITT (NPI 1902609118) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902609118

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDOMINIQUE MARIE TAYLOR TAITT

Location Address855 TIVERTON DRIVELos Angeles, CA 90095-0001

Mailing Address855 Tiverton DriveLos Angeles, CA 90095-0001 · (310) 825-6373

Phone(310) 825-6373

Sole ProprietorYes

Enumeration DateMarch 31, 2025

Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1902609118 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.

855 TIVERTON DRIVE, Los Angeles, CA 90095

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Other Names 1

Former Name (1)Dominique Marie Taylor Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Marie Taylor Taitt 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 15

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

MAXWELL RILEY ZYWICA MD