Individual provider Active NPI

Leslie Diane Vaughn, CFM

  • Prosthetic/Orthotic Supplier
  • Beverly Hills, CA
National Provider Identifier
1922142199
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
9230 W Olympic Blvd
Suite 100
Beverly Hills, CA 90212-4673
Phone
(310) 278-7987
Fax
(310) 278-2593
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

9230 W Olympic Blvd
Suite 100
Beverly Hills, CA 90212-4673

Mailing address

9230 W Olympic Blvd
Suite 100
Beverly Hills, CA 90212-4673
Phone (310) 278-7987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1922142199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 W OLYMPIC BLVD",
            "address_2": "SUITE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124673",
            "telephone_number": "310-278-7987",
            "fax_number": "310-278-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 W OLYMPIC BLVD",
            "address_2": "SUITE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124673",
            "telephone_number": "310-278-7987",
            "fax_number": "310-278-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "LESLIE",
        "middle_name": "DIANE",
        "credential": "CFM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.