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

Taylor Davis

Individual provider Physician Assistant · NPI 1245010560

Taylor Davis is a Physician Assistant in Riverside, California. Qualified in 2021, 5 years ago. Practices with Mgm Physician Assistant Inc, a 9-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

6159 Rhonda Rd
Riverside, CA 92504-1255
Phone: (951) 741-3819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 63400 (CA)

Record details

NPI number1245010560
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2023
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023
Mailing address6159 Rhonda Rd, Riverside, CA 92504-1255

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mgm Physician Assistant Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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