Active NPI
Sherry Vaughan, LAC
- Acupuncturist
- Beaumont, CA
National Provider Identifier
1720758618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 8285
- Practice address
- 701 Highland Springs Ave
Beaumont, CA 92223-2550 - Phone
- (951) 845-9183
- Fax
- (951) 845-9193
- NPI assigned
- Sep 14, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 8285 | CA | Primary |
Addresses
Primary practice location
701 Highland Springs Ave
Beaumont, CA 92223-2550
Mailing address
250 Broadriver TRL
Beaumont, CA 92223-7552
Phone (626) 355-3135
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 |
|---|---|---|---|
| 8285 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1720758618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 BROADRIVER TRL",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922237552",
"telephone_number": "626-355-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 HIGHLAND SPRINGS AVE",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922232550",
"telephone_number": "951-845-9183",
"fax_number": "951-845-9193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "SHERRY",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "8285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.