MR. KENNETH RAY TAYLOR (PA-C) – Physician Assistant, NPI 1891708376
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2011-08-18. Reason: Conviction of program-related crimes (mandatory; min. 5 years).
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. KENNETH RAY TAYLOR (PA-C)
10630 SEPULVEDA BLVD
STE 100
MISSION HILLS, CA 913451937
Phone: (818) 933-4440
Type: Mailing
Roscoe/Van Nuys, Roscoe Boulevard, Panorama City, Panorama City Neighborhood Council District, Los Angeles, Los Angeles County, California, 91402, United States
VAN NUYS, CA 914061258
Phone: (818) 893-4426
Type: Location
23401, Schoolcraft Street, West Hills, Los Angeles, Los Angeles County, California, 91307, United States
WEST HILLS, CA 913072420
Phone: (310) 508-5679
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91345)
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