Kevin Vaughn, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 21705 Issued in CA

Practice address

1044 Mangrove Ave
Chico, CA 95926-3509

Phone

(530) 892-2966

Fax

(530) 892-2929

NPI assigned

Nov 7, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vandl Ventures Physical Therapy IncGroup PAC ID 5092627174, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.87 of 100Reported as individual

Quality

83.77

Improvement activities

40

Cost

73.16

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• V&L Ventures Physical Therapy, Inc

  dba Coast Physical Therapy & Sports Medicine

  • Physical Therapist
  • Chico, CA
  • NPI 1114096518
  Medicare reassignment Care Compare group NPD Authorized official
• Northstate Foot & Ankle Specialist Inc

  • Podiatric Clinic/Center
  • Chico, CA
  • NPI 1114415759
  Medicare reassignment NPD
• Northstate Foot & Ankle Specialist Inc

  • Durable Medical Equipment & Medical Supplies
  • Redding, CA
  • NPI 1285452839
  NPD
• La Jolla Sol Ventures Inc

  dba Coast Physical Therapy and Sports Medicine

  • Orthopedic Physical Therapist
  • La Jolla, CA
  • NPI 1447512983
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1447329834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 MANGROVE AVE",
            "address_2": "SUITE B224",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263509",
            "telephone_number": "530-892-2966",
            "fax_number": "530-892-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 MANGROVE AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263509",
            "telephone_number": "530-892-2966",
            "fax_number": "530-892-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8950 Villa La Jolla Dr",
            "address_2": "Suite B224",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371714",
            "country_code": "US",
            "telephone_number": "858-452-3502",
            "fax_number": "858-452-3503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 21705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL NUMBER",
            "identifier": "PT0217050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dolores Vasquez
• Edgar Vasquez
• Lilly Anne Vasquez
• Angelina Vaughan
• Victoria Claire Vaughan, M.D.
• Royce Vaught
• Angel Vazquez
• Monica Vega
• Karina Lisseth Velazquez-Patino
• Dalila Sulen Velazquez

• Physical Therapist in Chico, CA
• Providers in Chico, 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 15, 2019; 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.