MISS SAMANTHA JADE VAUGHAN (NPI# 1689960825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689960825 |
| Entity Type | Individual |
| Full Name | MISS SAMANTHA JADE VAUGHAN |
| Credential | PA-C |
| Practice Address |
510 N Prospect Ave Ste 202 Redondo Beach CA 90277-3030 |
| Practice Telephone | 3103183010 |
| Mailing Telephone | 3103183010 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 19583 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
510 N PROSPECT AVE STE 202 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669811378 | South Bay Nurse Anesthesia Services | Anesthesiology | 510 N Prospect Ave Ste 202, Redondo Beach, CA 90277-3030 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306463526 | Kaitlyn Ann Parkinson | Physician Assistant | 374 Palos Verdes Blvd Apt F, Redondo Beach, CA 90277-6337 | 2020-07-03 |
| 1801178652 | Helen C Ho | Physician Assistant | 527 Avenue F, Redondo Beach, CA 90277-5153 | 2011-09-16 |
| 1538453725 | Nora Branning | Physician Assistant | 1817 Huntington Ln # A, Redondo Beach, CA 90278-4115 | 2011-06-05 |
| 1134368095 | Kelly Ann Josephsen | Physician Assistant | 816 Camino Real Unit 201, Redondo Beach, CA 90277-4307 | 2009-02-16 |
| 1063035087 | Brianna Bracy | Physician Assistant | 1106 S Pacific Coast Hwy, Redondo Beach, CA 90277-4902 | 2020-05-26 |
| 1174087977 | Casey Kathleen Salgado | Physician Assistant | 1106 S Pacific Coast Hwy, Redondo Beach, CA 90277-4902 | 2019-01-25 |
| 1528591898 | Kristen Smith | Physician Assistant | 510 N Prospect Ave, Suite 209, Redondo Beach, CA 90277-3028 | 2017-04-04 |
| 1518400373 | Samuel Richard Cox | Physician Assistant | 725 S Pacific Coast Hwy, Redondo Beach, CA 90277-4226 | 2016-11-28 |
| 1881136570 | Jacquelyn Sander | Physician Assistant | 1106 S Pacific Coast Hwy, Redondo Beach, CA 90277-4902 | 2016-11-10 |
| 1750785325 | Julia Catherine Karnoski | Physician Assistant | 1812 Artesia Blvd, Redondo Beach, CA 90278-2906 | 2014-10-10 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on MISS SAMANTHA JADE VAUGHAN.
| 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.