Healthcare Provider Details

I. General information

NPI: 1417840422
Provider Name (Legal Business Name): TAYLOR ANESTHESIA SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SIERRA COLLEGE DR STE B
GRASS VALLEY CA
95945-5093
US

IV. Provider business mailing address

PO BOX 34120
RENO NV
89533-4120
US

V. Phone/Fax

Practice location:
  • Phone: 530-272-3428
  • Fax: 530-272-3429
Mailing address:
  • Phone: 877-747-5050
  • Fax: 775-747-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: GREGORY TAYLOR
Title or Position: OWNER
Credential: CRNA
Phone: 513-307-8179