Individual provider Active NPI

Sheimeka Denea Vaughan Magee, M.D.

  • Family Medicine Physician
  • Colton, CA
National Provider Identifier
1912293556
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A128228 Issued in CA
Practice address
308 N la Cadena Dr
Colton, CA 92324-2946
Phone
(909) 321-4700
Fax
(909) 824-2887
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A128228 CA Primary

Addresses

Primary practice location

308 N la Cadena Dr
Colton, CA 92324-2946

Mailing address

308 N la Cadena Dr
Colton, CA 92324-2946
Phone (909) 321-4700

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141205001842 CA Practitioner - Family Practice 1254653066 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128228CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unicare Community Health Center Inc Current Accepting new patients
Community Health Systems, Inc. CurrentSince Sep 13, 2014 Accepting new patients
Unicare Community Health Center, Inc. CurrentSince Sep 1, 2016 Accepting new patients

Locations

308 N La Cadena Dr
Colton, CA 92324
Phone (909) 321-4700

22675 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

21801 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835

Organizations & group practices 3

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1912293556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N LA CADENA DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242946",
            "telephone_number": "909-321-4700",
            "fax_number": "909-824-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N LA CADENA DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242946",
            "telephone_number": "909-321-4700",
            "fax_number": "909-824-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN MAGEE",
        "first_name": "SHEIMEKA",
        "middle_name": "DENEA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A128228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.