Individual provider Active NPI

Joy J Vaughns, RN

  • Community Health Registered Nurse
  • Concord, CA
National Provider Identifier
1073215521
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
564390 Issued in CA
Practice address
2500 Bates Ave Ste B
Concord, CA 94520-1208
Phone
(925) 812-6955
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 564390 CA Primary

Addresses

Primary practice location

2500 Bates Ave Ste B
Concord, CA 94520-1208

Mailing address

2500 Bates Ave Ste B
Concord, CA 94520-1208
Phone (925) 812-6955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
564390CAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County CurrentSince Mar 26, 2023 Accepting new patients

Locations

2500 Bates Ave
Ste B
Concord, CA 94520
Phone (925) 499-8490

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1073215521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BATES AVE STE B",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201208",
            "telephone_number": "925-812-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BATES AVE STE B",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201208",
            "telephone_number": "925-812-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHNS",
        "first_name": "JOY",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "564390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.