Healthcare Provider Details

I. General information

NPI: 1275458820
Provider Name (Legal Business Name): MOUNTAIN HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 TUCKER RD STE F
TEHACHAPI CA
93561-2523
US

IV. Provider business mailing address

21750 VERDE ST
TEHACHAPI CA
93561-9437
US

V. Phone/Fax

Practice location:
  • Phone: 661-932-7001
  • Fax: 866-242-5109
Mailing address:
  • Phone: 661-932-7001
  • Fax: 866-242-5109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY TAYLOR
Title or Position: NURSE PRACTITIONER
Credential: FNP
Phone: 661-932-7001