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

Samuel Irving Taylor III

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1720218266

Samuel Irving Taylor III is an Emotionally Disturbed Childrens' Residential Treatment Facility in Oakland, California. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

581 63rd St
Oakland, CA 94609-1244
Phone: (415) 410-4975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1720218266
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 17, 2009
Last updated in NPPESJuly 17, 2009

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