Individual provider Active NPI

Robert Roscoe Vaughan, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1780233221
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012681 Issued in CA
Practice address
2510 El Camino Real
Carlsbad, CA 92008-1273
Phone
(760) 729-8941
NPI assigned
Sep 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012681 CA Primary

Addresses

Primary practice location

2510 El Camino Real
Carlsbad, CA 92008-1273

Mailing address

2510 El Camino Real
Carlsbad, CA 92008-1273
Phone (760) 729-8941

Other practice location 1

225 E 2nd Ave Ste 102
Escondido, CA 92025-4251
Phone (866) 228-2236

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922002335 CA Practitioner - Nurse Practitioner 1658705553 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012681CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Aug 19, 2020 Accepting new patients
North County Health Project Inc CurrentSince Nov 29, 2021 Accepting new patients
North County Health Project Inc CurrentSince Nov 29, 2021 Accepting new patients
North County Health Project Inc Current Accepting new patients
Graybill Medical Group Inc PastSince Feb 1, 2020 Accepting new patients
North County Health Project Inc Past Accepting new patients
Arch Health Partners, Inc Family PastSince Feb 1, 2020 Accepting new patients

Locations

2510 El Camino Real
Carlsbad, CA 92008
Phone (760) 729-8941

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

605 Crouch St
Bldg C
Oceanside, CA 92054
Phone (760) 757-4566

150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rvaughan364511@direct.ochin.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: robert.vaughannp.p1@direct.arch.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1780233221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 EL CAMINO REAL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081273",
            "telephone_number": "760-729-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 EL CAMINO REAL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081273",
            "telephone_number": "760-729-8941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E 2nd Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254251",
            "country_code": "US",
            "telephone_number": "866-228-2236",
            "fax_number": "760-291-6862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "ROBERT",
        "middle_name": "ROSCOE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-07",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.