Individual provider Active NPI

Michael Vaughan, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1295841955
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A69013 Issued in CA
Practice address
2340 Clay St
San Francisco, CA 94115-1932
Phone
(415) 505-1532
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A69013 CA Primary
Hospitalist Physician 208M00000X A69013 CA

Addresses

Primary practice location

2340 Clay St
San Francisco, CA 94115-1932

Mailing address

PO Box 320427
San Francisco, CA 94132-0427
Phone (415) 412-1749

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510001698 CA Practitioner - HospitalistPractitioner - Family Practice 6709875164 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Warren Alpert Medical School of Brown University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Hospitalist Associates IncGroup PAC ID 3274780689, 38 clinicians

Practice addresses (Care Compare)

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-3520

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.62 of 100Reported as individual
Quality
96.63
Improvement activities
0
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69013CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Hospitalist Associates, Inc. Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Sep 18, 2024 Accepting new patients
Galen Inpatient Physicians PC Single Specialty CurrentSince Sep 18, 2024 Accepting new patients
Galen Inpatient Physicians, PC Single Specialty Current Accepting new patients
Marin Hospitalist Medical Group, Inc. Single Specialty CurrentSince Apr 8, 2011 Accepting new patients
Prima Medical Group, Inc. Single Specialty Past Accepting new patients

Locations

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Interoperability endpoints

  • Direct secure messaging: mvaughan58764@hisp.ehr.sutterhealth.org
  • Direct secure messaging: mvaughan111951@direct-ucsfmedicalcenter.org

Organizations & group practices 6

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 3

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1295841955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320427",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941320427",
            "telephone_number": "415-412-1749",
            "fax_number": "866-305-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 CLAY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151932",
            "telephone_number": "415-505-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69013",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A69013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.