Individual provider Active NPI

Vaughn L Relano, NP

  • Primary Care Nurse Practitioner
  • Rancho Cordova, CA
National Provider Identifier
1790320083
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
NP95013134 Issued in CA
Practice address
4035 Pinoche Peak Way
Rancho Cordova, CA 95742-7730
Phone
(909) 904-3616
NPI assigned
Nov 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NP95013134 CA Primary

Addresses

Primary practice location

4035 Pinoche Peak Way
Rancho Cordova, CA 95742-7730

Mailing address

4035 Pinoche Peak Way
Rancho Cordova, CA 95742-7730
Phone (909) 904-3616

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
I20200427002541 CA Practitioner - Nurse Practitioner 8527498922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Inclusive Medical Services IncGroup PAC ID 3274855879, 21 clinicians

Practice addresses (Care Compare)

5900 Coyle Ave
Suite a
Carmichael, CA 95608-0400
Phone (916) 330-4447

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.12 of 100Reported as group
Quality
66.76
Promoting interoperability
100
Improvement activities
40
Cost
70.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95013134CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Inclusive Medical Services, Inc CurrentSince May 1, 2020 Accepting new patients
All Inclusive Medical Services Urgent Care, Inc. CurrentSince Dec 1, 2021 Accepting new patients

Locations

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

5900 Coyle Ave
Ste B
Carmichael, CA 95608
Phone (916) 349-7600

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1790320083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 PINOCHE PEAK WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957427730",
            "telephone_number": "909-904-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 PINOCHE PEAK WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957427730",
            "telephone_number": "909-904-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELANO",
        "first_name": "VAUGHN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95013134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

Verify at the official NPI Registry.