Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taylor Ryenee Honnoll, PA-C

Individual provider Physician Assistant · NPI 1124743836

Taylor Ryenee Honnoll, PA-C is a Physician Assistant in Modesto, California. Qualified in 2022, 4 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

600 Coffee Rd
Modesto, CA 95355-4201
Phone: (209) 550-4755
Fax: (510) 491-7522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1205 E North St, Manteca, CA 95336-4932 — (209) 814-4659

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61667 (CA)

Record details

NPI number1124743836
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

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)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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