Patrick J Vaughan MD Inc, a Professional Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G45794 Issued in CA

Legal business name

PATRICK J VAUGHAN MD INC, A PROFESSIONAL MEDICAL CORPORATION

Doing business as

Morro Family Practice

Practice address

685 Morro Avenue
Morro Bay, CA 93442-2266

Phone

(805) 772-7313

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Patrick Joseph Vaughan, MD

Title

President

Phone

(805) 772-7313

Specialties & licenses 1

Addresses

Other names 1

• Morro Family Practice Doing business as

Locations

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1922293729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 MORRO AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422266",
            "telephone_number": "805-772-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 MORRO AVENUE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422266",
            "telephone_number": "805-772-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J VAUGHAN MD INC, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-772-7313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G45794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morro Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sarah E Porraz

• Primary Care Clinic/Center in Morro Bay, CA
• Providers in Morro Bay, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.