Robert Taylor

Physician • Long Beach, CA

Deactivated NPI 1639604531 Deactivated in NPPES Male Practitioner

Practice location in NPPES

4300 Long Beach Blvd Ste 170
Long Beach, CA 908072015

Phone: 8182047015

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 03, 2022; the reason is not published. The records below are historical. They do not show whether Robert Taylor currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date April 28, 2017

NPI Deactivation Date March 03, 2022

NPI Active Period 2017 – 2022

Practice Location & Contact Primary Location

Practice Address

4300 Long Beach Blvd Ste 170

Long Beach, CA 908072015

Telephone 8182047015

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Organization at the Same NPPES Address or Phone

Blue Oak Medical Group Facility NPI 1306205570

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Long Beach and California

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Clinic/Center - Occupational Medicine Primary Specialty

NUCC Taxonomy Code: 261QX0100X

License # reported to NPPES CA DC 24233

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated March 03, 2022

NPPES lists this NPI as deactivated as of March 03, 2022; the reason is not published.

✅

NPI Profile Active April 28, 2017

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) April 28, 2017

Registered at 4300 LONG BEACH BLVD STE 170, LONG BEACH, CA 908072015 (Tel: 8182047015)

📍

Business Mailing Address (Initial Record) April 28, 2017

Registered at 4300 LONG BEACH BLVD STE 170, LONG BEACH, CA 908072015

👤

Provider Name / Credentials (Initial Record) April 28, 2017

Recorded as ROBERT TAYLOR

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2017

Clinic/Center (license number reported to NPPES: CA DC 24233)

🟢

Initial NPI Registration & Enumeration April 28, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639604531

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 28, 2017

Last Update: April 28, 2017

Deactivation Date: March 03, 2022

Update or Correct Profile

Mailing Address

4300 Long Beach Blvd Ste 170

Long Beach, CA 908072015

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.