Vaughn Ruark Villena Chua-Uy, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

309650 Issued in CA

Practice address

1300 S Pacific Coast Hwy Ste 201
Redondo Beach, CA 90277-5003

Phone

(310) 543-7779

Fax

(844) 314-9911

NPI assigned

Apr 6, 2026

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Group practices

Goodlife Physical Medicine CorpGroup PAC ID 0446542922, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Goodlife Physical Medicine Corp

  • General Practice Physician
  • Redondo Beach, CA
  • NPI 1891152781
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1174465694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779",
            "fax_number": "844-314-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779",
            "fax_number": "844-314-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2365 Seal Beach Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Seal Beach",
            "state": "CA",
            "postal_code": "907405622",
            "country_code": "US",
            "telephone_number": "310-543-7779",
            "fax_number": "844-314-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUA-UY",
        "first_name": "VAUGHN",
        "middle_name": "RUARK VILLENA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mui Chow
• Joseph Christensen
• Christopher J Bruno DC Chiropractic Inc
• Christopher Oates Dental Corporation
• Kenneth F Chu, OD
• Chelsey Lorraine Ciasulli, FNP-C
• Vanessa Cicchini
• Sara Estefany Cifuentez
• Lisa Ciotto
• Lauren Cipiti, PHARMD

• Physical Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.