DR. RANDY TAYLOR (M.D.) – Internal Medicine Physician, NPI 1750490702

DR. RANDY TAYLOR (M.D.) is a healthcare provider. based in San bernardino, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. C42157 (CA). The NPI Number for DR. RANDY TAYLOR (M.D.) is 1750490702

Main info

Male
42 Years Of Experience
Name
DR. RANDY TAYLOR (M.D.)
NPI
1750490702
Phone
(909) 890-0407
Address
685 CARNEGIE DR., STE 230
Enumeration Date
30 August 2006
Last Update Date
5 May 2026

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6268001200
Graduation Year
1984 (42 years ago)
PAC ID
3870590698
Group Practice PAC ID
6901804350
Professional Enrollment ID
I20090706000074
Address ID
CA917902032WE140XXAVEX403
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for DR. RANDY TAYLOR (M.D.)

  • 685 CARNEGIE DR., STE 230

    SAN BERNARDINO, CA 924083583

    Phone: (909) 890-0407

    Fax: (909) 890-0575

    Type: Mailing

  • 1433 N HOLLENBECK AVE STE 200

    COVINA, CA 917221558

    Phone: (626) 331-2209

    Fax: (626) 967-1410

    Type: Mailing

  • 565, North Mount Vernon Avenue, San Bernardino, San Bernardino County, California, 92411, United States

    SAN BERNARDINO, CA 924112661

    Phone: (909) 884-9091

    Fax: (909) 373-7013

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $4,331.

Total Amount is formed as General ($4,331) + Research ($0) + Ownership ($0) = $4,331.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ViiV Healthcare Company ($586).

Total Amount

$4,331

General + Research + Ownership

Payments

79

Total payment records

General Amount

$4,331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090706000074IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes14844$0
96127Assessment of emotional or behavioral problems1313$0
99212Established patient office or other outpatient visit, 10-19 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 92408)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901804350View full group profile
NameSpecialtyState
Family PracticeCA
-CA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineNJ
-CA
-CA
General Practice, Internal MedicineCA
Internal MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RANDY TAYLOR (M.D.)?
DR. RANDY TAYLOR (M.D.) — NPI 1750490702 — is the standard way to identify this listing.
Is DR. RANDY TAYLOR (M.D.) still practicing?
DR. RANDY TAYLOR (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does DR. RANDY TAYLOR (M.D.) hold?
Scheduling teams often label DR. RANDY TAYLOR (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. RANDY TAYLOR (M.D.) list a practice location?
Patients near San Bernardino, California may find DR. RANDY TAYLOR (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.