{"npi":"1265458269","type":"NPI-1","status":"active","name":{"display":"Dr. Kenneth Taylor M.D.","other":[],"first":"KENNETH","last":"TAYLOR","middle":"S","credential":"M.D."},"specialty":{"primary_taxonomy":"207QS0010X","primary_taxonomy_description":"Sports Medicine (Family Medicine) Physician","slug":"sports-medicine-family-medicine-physician","schema_org_specialty":null,"all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"CA","license":"A55037"},{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":true,"state":"CA","license":"A55037"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 W ARBOR DR","city":"SAN DIEGO","state":"CA","postal_code":"921039000","country_code":"US","phone":"8009268273"},{"purpose":"MAILING","street_1":"PO BOX 232410","city":"SAN DIEGO","state":"CA","postal_code":"921932410","country_code":"US","phone":"8009268273"}],"license":{"state":"CA","number":"A55037"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00A550370","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100830000895","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"CA","pac_id":"6800910720"}]},"enumeration_date":"2006-07-14","last_updated":"2020-09-15","_meta":{"source":"NPPES","snapshot_date":"2020-09-15","doc_url":"https://findmynpi.com/api"}}