Individual provider Active NPI

Erin Vaughn, MD

  • Pediatrics Physician
  • Madera, CA
National Provider Identifier
1528234200
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C186374 Issued in CA
Practice address
9300 Valley Children's Place
MB01
Madera, CA 93636
Phone
(559) 353-6425
NPI assigned
May 2, 2008
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C186374 CA
Pediatrics Physician 208000000X MD.207578 LA
Pediatrics Physician 208000000X C186374 CA Primary
Internal Medicine Physician 207R00000X MD.207578 LA

Addresses

Primary practice location

9300 Valley Children's Place
MB01
Madera, CA 93636

Mailing address

9300 Valley Childrens PL # MB01
Madera, CA 93636-8761
Phone (559) 353-6425

Other practice location 1

1150 Robert Blvd Ste 330
Slidell, LA 70458-2006
Phone (985) 280-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C186374CAMDPediatrics Physician
MD.207578LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Slidell Memorial Hospital Past Accepting new patients
Valley Children's Primary Care Group, Inc. Pediatrics Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: evaughn77274@valleychildrens-prd.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/6226/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1528234200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # MB01",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-6425",
            "fax_number": "559-353-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDREN'S PLACE",
            "address_2": "MB01",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93636",
            "telephone_number": "559-353-6425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Robert Blvd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704582006",
            "country_code": "US",
            "telephone_number": "985-280-7337",
            "fax_number": "985-280-7340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "ERIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C186374",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.207578",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C186374",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.207578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.