Individual provider Active NPI

Meredith Vaughan, OTR,CHT

  • Hand Occupational Therapist
  • Costa Mesa, CA
National Provider Identifier
1942466834
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
1791 Issued in CA
Practice address
1700 Adams Ave
Suite 103
Costa Mesa, CA 92626-4865
Phone
(714) 556-2288
Fax
(714) 435-1745
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 1791 CA Primary

Addresses

Primary practice location

1700 Adams Ave
Suite 103
Costa Mesa, CA 92626-4865

Mailing address

1700 Adams Ave
Suite 103
Costa Mesa, CA 92626-4865

Other identifiers 1

IdentifierTypeStateIssuer
1791OtherCACALIFORNIA BOARD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000216 CA Practitioner - Occupational Therapist in Private Practice 7719947233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands on Hands Rehabilitation Center, IncGroup PAC ID 5991731655, 4 clinicians

Practice addresses (Care Compare)

1700 Adams Ave
Costa Mesa, CA 92626-4865
Phone (714) 556-2288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1791CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
California Therapy Solutions CurrentSince May 27, 2013 Accepting new patients
Hands on Hands Rehabilitation Center, Inc Hand CurrentSince Apr 23, 2011 Accepting new patients
California Therapy Solutions CurrentSince May 27, 2013 Accepting new patients
Associated Occupational Therapists Inc Past Accepting new patients

Locations

485 E 17th St
Ste 650
Costa Mesa, CA 92627
Phone (949) 722-7374

1700 Adams Ave
Ste 103
Costa Mesa, CA 92626
Phone (714) 556-2288

6865 Alton Pkwy
Ste 110
Irvine, CA 92618
Phone (949) 679-2933

Interoperability endpoints

  • Direct secure messaging: meredith.vaughan.p29@direct.newportmed.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1942466834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ADAMS AVE",
            "address_2": "SUITE 103",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ADAMS AVE",
            "address_2": "SUITE 103",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264865",
            "telephone_number": "714-556-2288",
            "fax_number": "714-435-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "MEREDITH",
        "credential": "OTR,CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "1791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD LICENSE",
            "identifier": "1791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.