Active NPI
Lindy Vaughn, D.C.
- Chiropractor
- San Mateo, CA
National Provider Identifier
1639450380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6529
- Practice address
- 2287 S El Camino Real
San Mateo, CA 94403-1808 - Phone
- (650) 826-0895
- Fax
- (415) 480-1417
- NPI assigned
- Sep 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6529 | CO | Primary |
| Nutrition Chiropractor | 111NN1001X | 31790 | CA |
Addresses
Primary practice location
2287 S El Camino Real
San Mateo, CA 94403-1808
Mailing address
2287 S El Camino Real
San Mateo, CA 94403-1808
Phone (650) 826-0895
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6529 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421366400000",
"number": "1639450380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2287 S EL CAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031808",
"telephone_number": "650-826-0895",
"fax_number": "415-480-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2287 S EL CAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031808",
"telephone_number": "650-826-0895",
"fax_number": "415-480-1417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "LINDY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2015-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6529",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "31790",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.