NPIMap

Individual provider Active NPI

Winston Canute Vaughan, M.D.

  • Specialist
  • Atherton, CA
National Provider Identifier
1821182973
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G77809 Issued in CA
Practice address
3351 El Camino Real
Ste 200
Atherton, CA 94027-3811
Phone
(650) 399-4630
Fax
(650) 366-4930
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G77809 CA Primary

Addresses

Primary practice location

3351 El Camino Real
Ste 200
Atherton, CA 94027-3811

Mailing address

1111 Exposition Blvd
BLDG 700
Sacramento, CA 95815-4314
Phone (916) 736-3408

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000322 CA Practitioner - Otolaryngology 3870544463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Stanford University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

15899 Los Gatos Almaden Rd
Suite 12
Los Gatos, CA 95032-3739
Phone (408) 358-2663

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

3351 El Camino Real
Suite 200
Atherton, CA 94027-3802
Phone (650) 399-4630

365 Lennon LN
Walnut Creek, CA 94598-5915

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77809CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Sep 1, 2016 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Sep 1, 2016 Accepting new patients
Bass Medical Group Specialist Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

3351 El Camino Real
Ste 200
Atherton, CA 94027
Phone (650) 387-5223

7014 N Whitney Ave
Fresno, CA 93720
Phone (559) 321-2800

15899 Los Gatos Almaden Rd
Ste 12
Los Gatos, CA 95032
Phone (408) 358-2663

1 Daniel Burnham Ct
Ste 205C
San Francisco, CA 94109
Phone (415) 221-7046

2581 Samaritan Dr
Ste 210
San Jose, CA 95124
Phone (408) 442-5090

990 Sonoma Ave
Ste 18
Santa Rosa, CA 95404
Phone (707) 575-9009

414 W Napa St
Ste A
Sonoma, CA 95476
Phone (650) 399-4630

2123 Ygnacio Valley Rd
Ste K100
Walnut Creek, CA 94598
Phone (925) 285-1381

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: wvaughan18186@ehr.johnmuirhealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA

Organizations & group practices 5

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 10

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1821182973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD",
            "address_2": "BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3408",
            "fax_number": "916-233-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 EL CAMINO REAL",
            "address_2": "STE 200",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940273811",
            "telephone_number": "650-399-4630",
            "fax_number": "650-366-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "WINSTON",
        "middle_name": "CANUTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G77809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atherton, CA

Sources for this page

Verify at the official NPI Registry.