Provider Demographics
NPI:1760056592
Name:GARCIA, TAYLOR C (PA-C)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:C
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:500 CHADBOURNE RD STE B
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-9644
Mailing Address - Country:US
Mailing Address - Phone:707-439-4039
Mailing Address - Fax:
Practice Address - Street 1:500 CHADBOURNE RD STE B
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-9644
Practice Address - Country:US
Practice Address - Phone:707-439-4039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant