DR. ORIE THOMAS VAUGHN (NPI# 1568483014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568483014 |
| Entity Type | Individual |
| Full Name | DR. ORIE THOMAS VAUGHN |
| Other Name | O THOMAS VAUGHN |
| Credential | DPM |
| Practice Address |
111 N La Brea Ave Suite 301 Inglewood CA 90301-1752 |
| Mailing Address |
Po Box 91379 Los Angeles CA 90009-1379 |
| Practice Telephone | 3104191060 |
| Practice Fax Number | 3104123079 |
| Mailing Telephone | 3104191060 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
E2187 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E21870 | 05 | |
| CA | DEA # | AV7602116 | 01 |
| Street Address |
111 N LA BREA AVE SUITE 301 |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457631855 | Enisha Clark | Social Worker | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2011-08-17 |
| 1063705069 | Robert Feldman | Counselor | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2011-05-24 |
| 1821388307 | Diana C. Corral | Social Worker | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2011-04-18 |
| 1043530546 | Stephen O. Abanise | Social Worker | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2010-06-07 |
| 1245550284 | Tamika Aaron | Counselor | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2010-06-01 |
| 1043535818 | Susan Carlsson Stone | Marriage & Family Therapist | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2010-04-05 |
| 1285964270 | Patricia Lynn Nielsen | Counselor | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2010-01-13 |
| 1548590151 | Susana Stewart | Social Worker | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2010-01-04 |
| 1902035504 | Nestor Presas | Marriage & Family Therapist | 111 N La Brea Ave, 700, Inglewood, CA 90301-1752 | 2009-07-06 |
| 1659510485 | Francine Nicole Eager | Community Health Worker | 111 N La Brea Ave, Suite 500, Inglewood, CA 90301-1752 | 2009-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598812786 | Joel A Ammons IIi | Podiatrist | 323 N Prairie Ave, Suite 320, Inglewood, CA 90301-4502 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760017438 | Karen Romines Podiatry Incorporated | Podiatrist | 10100 Fair Oaks Blvd Ste A, Fair Oaks, CA 95628-7154 | 2020-03-03 |
| 1033759709 | Igal Palma | Podiatrist | 2987 Grant St, Concord, CA 94520-4640 | 2020-01-10 |
| 1376013730 | Fatah Paramole Dpm LLC | Podiatrist | 561 N Alta Ave Ste A, Dinuba, CA 93618-3200 | 2018-11-28 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1669988655 | Happy Feet Podiatry P.C. | Podiatrist | 601 E Yorba Linda Blvd Ste 6, Placentia, CA 92870-3006 | 2017-12-28 |
| 1023549987 | Carl Christenson, Dpm | Podiatrist | 7687 N 9th St, Fresno, CA 93720-2629 | 2017-03-22 |
| 1598203788 | Bermar Group Inc | Podiatrist | 7952 Genesta Ave, Lake Balboa, CA 91406-1624 | 2017-02-07 |
| 1063871234 | Gregory W Herb | Podiatrist | 195 Blossom Hill Rd Lot 148, San Jose, CA 95123-2349 | 2016-02-17 |
| 1053791509 | Grandy Podiatry Group | Podiatrist | 730 46th St, Sacramento, CA 95819-3149 | 2015-05-30 |
| 1801201389 | Alycia Chen | Podiatrist | 305 South Dr Ste 6, Mountain View, CA 94040-4207 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.