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

Taylor W Medeiros, PA-C

Individual provider Physician Assistant · NPI 1457936213

Taylor W Medeiros, PA-C is a Physician Assistant in Rancho Santa Margarita, California. Licensed in California, Illinois and Indiana. Registered with an NPI since 2021.

Licensed in
CA, IL, IN
In the registry since
2021
Specialties on file
4
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

22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804
Phone: (855) 727-2251
Fax: (855) 727-2251
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004033A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 64559 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085.008218 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 64559 (CA)

Record details

NPI number1457936213
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 12, 2021
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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