Individual provider Active NPI

Scott Richard Vaudrey, MD

  • Family Medicine Physician
  • Chino Hills, CA
National Provider Identifier
1649944687
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G174326 Issued in CA
Practice address
15855 Pomona Rincon Rd BLDG 4
Chino Hills, CA 91709-5572
Phone
(714) 446-5830
NPI assigned
Aug 3, 2021
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G174326 CA Primary

Addresses

Primary practice location

15855 Pomona Rincon Rd BLDG 4
Chino Hills, CA 91709-5572

Mailing address

15855 Pomona Rincon Rd BLDG 4
Chino Hills, CA 91709-5572
Phone (714) 446-5830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113002277 CA Practitioner - Family Practice 3971518671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

15855 Pomona Rincon Rd
BLDG 4
Chino Hills, CA 91709-3162
Phone (909) 929-2511

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G174326CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Mar 10, 2025 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Mar 10, 2025 Accepting new patients
Riverside Medical Clinic, Inc Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Riverside Medical Clinic, Inc Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
Spokane Washington Hospital Company LLC Past Accepting new patients
Empire Health Services Past Accepting new patients
Queen of the Valley Medical Association Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

15855 Pomona Rincon Rd
Chino Hills, CA 91709
Phone (909) 264-8666

15855 Pomona Rincon Rd
Bldg 4
Chino Hills, CA 91709
Phone (714) 446-5050

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Interoperability endpoints

  • Direct secure messaging: svaudrey3803749@oc.providencedirect.org

Organizations & group practices 10

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1649944687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15855 POMONA RINCON RD BLDG 4",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095572",
            "telephone_number": "714-446-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 POMONA RINCON RD BLDG 4",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095572",
            "telephone_number": "714-446-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUDREY",
        "first_name": "SCOTT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G174326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.