Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathon Charles Taylor, PA

Individual provider Physician Assistant · NPI 1508576745

Jonathon Charles Taylor, PA is a Physician Assistant in Fresno, California. Qualified in 2022, 4 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 459-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 14 Richland Medical Park Dr Ste 350, Columbia, SC 29203-6896 — (803) 434-1663
  • 3520 W Montague Ave Ste 104, North Charleston, SC 29418-6083 — (843) 746-1001

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 67567 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 67567 (CA)

Record details

NPI number1508576745
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 29, 2022
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address2625 E Divisadero St, Fresno, CA 93721-1431

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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