Individual provider · Type 1 NPI

Taylor Ryenee Honnoll, PA-C

Physician Assistant · Modesto, CA

NPI number 1124743836 Active

Practice location

600 Coffee Rd
Modesto, CA 95355-4201

Call (209) 550-4755 Map

Fax (510) 491-7522

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice locations

  • 1205 E North St, Manteca, CA 95336-4932 · (209) 814-4659

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA61667 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124743836

Taylor Ryenee Honnoll, PA-C's National Provider Identifier is 1124743836, issued on Oct 5, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Modesto, CA. The record was last updated on Mar 17, 2026.