Organization Active NPI

James M. Feeney MD and David a Vaughan MD, a Partnership

  • Specialist
  • Daly City, CA
National Provider Identifier
1225128374
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G45181 Issued in CA
Legal business name
JAMES M. FEENEY MD AND DAVID A VAUGHAN MD, A PARTNERSHIP
Practice address
1800 Sullivan Ave
Suite 207
Daly City, CA 94015-2228
Phone
(650) 992-0463
Fax
(650) 992-8912
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Michael Feeney, MDNPI 1386624377
Title
Partner
Phone
(650) 992-0463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G45181 CA Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G51966 CA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A65286 CA

Addresses

Primary practice location

1800 Sullivan Ave
Suite 207
Daly City, CA 94015-2228

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
ZZZ22871ZOtherCAMEDICARE GROUP NUMBER
GR0088110OtherCAMEDI-CAL PROV ID #
CI9098OtherCAMEDICARE RAILROAD PROV #
ZZZ60314ZOtherCABLUE SHIELD PROV #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006001240 CA Part B Supplier - Clinic/Group Practice 3870552797 Receives reassigned benefits from 3 practitioners
Practice locations: Daly City, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225128374",
    "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 AVE",
            "address_2": "SUITE 207",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152228",
            "telephone_number": "650-992-0463",
            "fax_number": "650-992-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. FEENEY MD AND DAVID A VAUGHAN MD, A PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEENEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "650-992-0463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G45181",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G51966",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A65286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "ZZZ22871Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROV ID #",
            "identifier": "GR0088110",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROV #",
            "identifier": "CI9098",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV #",
            "identifier": "ZZZ60314Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.