Organization Active NPI

Brian R. Vaughn, Inc

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1467637801
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BRIAN R. VAUGHN, INC
Practice address
6224 Caminito del Oeste
San Diego, CA 92111-6829
Phone
(619) 884-0132
Fax
(858) 452-3503
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Brian R Vaughn
Title
Physical Therapist
Phone
(619) 884-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6224 Caminito del Oeste
San Diego, CA 92111-6829

Mailing address

6224 Caminito del Oeste
San Diego, CA 92111-6829
Phone (619) 884-0132

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1467637801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 CAMINITO DEL OESTE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116829",
            "telephone_number": "619-884-0132",
            "fax_number": "858-452-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 CAMINITO DEL OESTE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116829",
            "telephone_number": "619-884-0132",
            "fax_number": "858-452-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN R. VAUGHN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "619-884-0132"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.