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

Taylor Renee Beardt

Individual provider Surgical Physician Assistant · NPI 1619717782

Taylor Renee Beardt is a Surgical Physician Assistant in Alhambra, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1000 S Fremont Ave Bldg A-11
Alhambra, CA 91803-8800
Phone: (626) 457-4240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 68604 (CA)

Record details

NPI number1619717782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 28, 2024
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address4640 La Crescenta Ave, La Crescenta, CA 91214-2916

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