Jennifer Medina Vaughn

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF91477 Issued in CA

Practice address

760 Mountain View St
Altadena, CA 91001-4925

Phone

(626) 798-6793

NPI assigned

Feb 18, 2009

Last updated

May 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1023257862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 LONGDEN AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801604",
            "telephone_number": "360-878-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MOUNTAIN VIEW ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014925",
            "telephone_number": "626-798-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JENNIFER",
        "middle_name": "MEDINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF91477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Turner
• Katharine Valdes, MS, RD, CSSD
• Daniel Abdias Vallecillo, B.A.
• Robin B Vance, M.F.T.
• Fernel Vasquez
• Lauren Veca, DOULA
• Michelle Emiko Velasquez, L.AC.
• Fernando Verdugo, D.M.D., PHD
• Vickie S Greenberg a Professional Dental Corporation
• Alissa Christine Villanueva

• Marriage & Family Therapist in Altadena, CA
• Providers in Altadena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.