NPIMap

Individual provider Active NPI

David Aloysius Vaughan, MD FACC

  • Cardiovascular Disease Physician
  • Daly City, CA
National Provider Identifier
1194705186
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G51966 Issued in CA
Practice address
1800 Sullivan Avenue
Suite 207
Daly City, CA 94015-2222
Phone
(650) 992-0463
Fax
(650) 992-8912
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G51966 CA Primary

Addresses

Primary practice location

1800 Sullivan Avenue
Suite 207
Daly City, CA 94015-2222

Mailing address

1800 Sullivan Avenue
Suite 207
Daly City, CA 94015-2222
Phone (650) 992-0463

Other identifiers 2

IdentifierTypeStateIssuer
GR0088110MedicaidCA
ZZZ60314ZOtherCABLUE SHIELD GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091112000563 CA Practitioner - Cardiovascular Disease (Cardiology) 7113986050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Geisel School of Medicine at Dartmouth, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1800 Sullivan Ave
RM 302
Daly City, CA 94015-2223
Phone (650) 992-0463

Hospital & facility affiliations

  • Ahmc Seton Medical Center Hospital, Daly City, CA, CCN 050289
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • California Pacific Medical Center - Mission Bernal Hospital, San Francisco, CA, CCN 050055
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
James M. Feeney MD and David a Vaughan MD, a Partnership CurrentSince Jul 15, 1997 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1800 Sullivan Ave
Rm 302
Daly City, CA 94015
Phone (650) 992-0463

1800 Sullivan Ave
Rm 207
Daly City, CA 94015
Phone (650) 992-0463

Interoperability endpoints

  • Direct secure messaging: dvaughan58750@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1194705186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVENUE",
            "address_2": "SUITE 207",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152222",
            "telephone_number": "650-992-0463",
            "fax_number": "650-992-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVENUE",
            "address_2": "SUITE 207",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152222",
            "telephone_number": "650-992-0463",
            "fax_number": "650-992-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "DAVID",
        "middle_name": "ALOYSIUS",
        "name_prefix": "Dr.",
        "credential": "MD FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G51966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0088110",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ60314Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.