Charles R. Vaughn DO, a Medical Corporation

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

20A7510 Issued in CA

Legal business name

CHARLES R. VAUGHN DO, A MEDICAL CORPORATION

Practice address

1700 E Cesar E Chavez Ave
Los Angeles, CA 90033-2424

Phone

(818) 848-8891

Fax

(818) 848-8892

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Raymond Vaughn, DO

Title

President

Phone

(818) 848-8891

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1952402133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 FIRESTONE BLVD",
            "address_2": "6-305",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906508810",
            "telephone_number": "818-848-8891",
            "fax_number": "818-848-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332424",
            "telephone_number": "818-848-8891",
            "fax_number": "818-848-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. VAUGHN DO, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-848-8891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A7510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.