Julianne Vaughn Woodside

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT1530 Issued in CA

Practice address

3217 Colorado PL
Costa Mesa, CA 92626-2232

Phone

(714) 322-9181

NPI assigned

Jan 22, 2021

Last updated

Jan 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1902496011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 COLORADO PL",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262232",
            "telephone_number": "714-322-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 COLORADO PL",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262232",
            "telephone_number": "714-322-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSIDE",
        "first_name": "JULIANNE",
        "middle_name": "VAUGHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT1530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westin Wood
• Shayla Yvette Woodard
• Bobby Woodcock, OTR/L
• Crispin Woods, D.C.
• Richard Irving Woods, M.D.
• Caitland Raquel Woolsey
• Sylvia Louise Worden, NP
• Xia Alexis Workman
• Therese Louise Wright, NP
• Christopher Wu

• Physical Medicine & Rehabilitation Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.