Active NPI
Marcus Eugene Vaughn Jr., D.C.
- Chiropractor
- Visalia, CA
National Provider Identifier
1578551925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17917
- Practice address
- 1126 N Chinowth St
Visalia, CA 93291-7896 - Phone
- (559) 734-3414
- Fax
- (559) 734-8850
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC17917 | CA | Primary |
Addresses
Primary practice location
1126 N Chinowth St
Visalia, CA 93291-7896
Mailing address
1126 N Chinowth St
Visalia, CA 93291-7896
Phone (559) 734-3414
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17917 | CA | MD | Chiropractor |
| 17917 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1578551925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 N CHINOWTH ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932917896",
"telephone_number": "559-734-3414",
"fax_number": "559-734-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 N CHINOWTH ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932917896",
"telephone_number": "559-734-3414",
"fax_number": "559-734-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "MARCUS",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.