Kimikio Vaughn

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

B4596350 Issued in CA

Practice address

1501 Brea Blvd Apt 213
Fullerton, CA 92835-3942

Phone

(310) 617-3463

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1982457289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 W 84TH ST APT 7",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903051734",
            "telephone_number": "310-617-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BREA BLVD APT 213",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353942",
            "telephone_number": "310-617-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "KIMIKIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "CA",
            "license": "B4596350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Vasquez
• Roberto Vasquez
• Trisha Michael Vasquez
• Vass Senior Care
• Prasong Benson Vassantachart, MD
• Vaxi
• Andrea Katarina Vazquez
• Carlos Moreno Vazquez, DC
• Daisy Vazquez
• Emely Isela Vazquez

• Attendant Care Provider in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.