Provider Demographics
NPI:1740171412
Name:SCHIMMERS, TAYLOR MARIE (DC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MARIE
Last Name:SCHIMMERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:MARIE
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2278 NEWPORT BLVD APT 6
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-7151
Mailing Address - Country:US
Mailing Address - Phone:951-440-9951
Mailing Address - Fax:
Practice Address - Street 1:1680 S MELROSE DR STE 105
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-5472
Practice Address - Country:US
Practice Address - Phone:760-599-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC37370111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor