Individual provider Active NPI

Janet Leigh Vaughn, CRNA

  • Certified Registered Nurse Anesthetist
  • Bakersfield, CA
National Provider Identifier
1831587989
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95050062 Issued in CA
Practice address
10302 Fenwick Island Dr
Bakersfield, CA 93314-8091
Phone
(480) 406-9027
NPI assigned
Dec 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95050062 CA Primary

Addresses

Primary practice location

10302 Fenwick Island Dr
Bakersfield, CA 93314-8091

Mailing address

10302 Fenwick Island Dr
Bakersfield, CA 93314-8091
Phone (480) 406-9027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150114000317 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012231475 Reassigns benefits to 2 organizations
I20200211001717 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012231475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hullander and Mozingo LP CurrentSince Sep 17, 2019 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Dec 29, 2018 Accepting new patients
Valley Anesthesia Associates, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Hullander and Mozingo LP CurrentSince Sep 17, 2019 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Dec 23, 2019 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Dec 29, 2018 Accepting new patients
Globe Crna Company, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Dignity Health PastSince Oct 1, 2016 Accepting new patients

Locations

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

2901 Sillect Ave
Ste 200
Bakersfield, CA 93308
Phone (661) 326-1100

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588

10 Santa Rosa St
Ste 201
Sn Luis Obisp, CA 93405
Phone (805) 544-7246

Organizations & group practices 8

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": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1831587989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 FENWICK ISLAND DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148091",
            "telephone_number": "480-406-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10302 FENWICK ISLAND DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148091",
            "telephone_number": "480-406-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JANET",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95050062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.