Active NPI
Vaughn Darst, RD
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1679110746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86107794
- Practice address
- 1231 S Plymouth Blvd Apt 102
Los Angeles, CA 90019-6881 - Phone
- (562) 290-2431
- Fax
- (562) 264-1215
- NPI assigned
- Dec 6, 2019
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86107794 | CA | Primary |
Addresses
Primary practice location
1231 S Plymouth Blvd Apt 102
Los Angeles, CA 90019-6881
Mailing address
1231 S Plymouth Blvd Apt 102
Los Angeles, CA 90019-6881
Phone (562) 290-2431
Other practice location 1
21515 Hawthorne Blvd Ste 370
Torrance, CA 90503-6556
Phone (424) 341-5407 ext. 104
Other practice location 2
1231 S Plymouth Blvd Apt 102
Los Angeles, CA 90019-6881
Phone (562) 290-2431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86107794 | Other | CA | COMMISSION ON DIETETIC REGISTRATION |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vaughn@allgendernutrition.com | Direct | |
| Direct Messaging Address | vaughn@allgendernutrition.com | Direct |
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 |
|---|---|---|---|
| 86107794 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1679110746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 S PLYMOUTH BLVD APT 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900196881",
"telephone_number": "562-290-2431",
"fax_number": "562-264-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 S PLYMOUTH BLVD APT 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900196881",
"telephone_number": "562-290-2431",
"fax_number": "562-264-1215"
}
],
"practiceLocations": [
{
"address_1": "21515 Hawthorne Blvd Ste 370",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905036556",
"country_code": "US",
"telephone_number": "424-341-5407 x104",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1231 S Plymouth Blvd Apt 102",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900196881",
"country_code": "US",
"telephone_number": "562-290-2431",
"fax_number": "562-264-1215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARST",
"first_name": "VAUGHN",
"name_prefix": "Mr.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-06",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86107794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86107794",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vaughn@allgendernutrition.com",
"affiliation": "N",
"endpointDescription": "secure business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Secure Email",
"address_1": "1231 S Plymouth Blvd Apt 102",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900196881",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vaughn@allgendernutrition.com",
"affiliation": "N",
"endpointDescription": "secure business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Secure Email",
"address_1": "1231 S Plymouth Blvd Apt 102",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900196881",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.