Individual provider Active NPI

James Timothy Vaughan, DPT

  • Physical Therapist
  • Paso Robles, CA
National Provider Identifier
1982492831
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304710 Issued in CA
Practice address
265 San Fernando Dr
Paso Robles, CA 93446-3511
Phone
(805) 952-3862
NPI assigned
Apr 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 304710 CA Primary

Addresses

Primary practice location

265 San Fernando Dr
Paso Robles, CA 93446-3511

Mailing address

265 San Fernando Dr
Paso Robles, CA 93446-3511
Phone (805) 952-3862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013002017 CA Practitioner - Physical Therapist in Private Practice 9133616345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

1331 Medical Ctr Dr
Suite a
Rohnert Park, CA 94928-2900
Phone (707) 584-3433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Sep 15, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients

Locations

2420 Martin Rd
Ste 380
Fairfield, CA 94534
Phone (707) 437-9001

1331 Medical Center Dr
Ste A
Rohnert Park, CA 94928
Phone (707) 584-3433

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1982492831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 SAN FERNANDO DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463511",
            "telephone_number": "805-952-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 SAN FERNANDO DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463511",
            "telephone_number": "805-952-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "JAMES",
        "middle_name": "TIMOTHY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.