Healthcare Provider Details

I. General information

NPI: 1851747166
Provider Name (Legal Business Name): CHRISTOPHER TAYLOR FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26926 CHERRY HILLS BLVD
MENIFEE CA
92586-2500
US

IV. Provider business mailing address

31361 RIVERSIDE DEIVE
LAKE ELSINORE CA
92530
US

V. Phone/Fax

Practice location:
  • Phone: 951-216-2200
  • Fax: 360-462-2753
Mailing address:
  • Phone: 844-308-5003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP8654
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95020584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: