Kelly Gaughen, D.O.
NPI 1184988008 · Pediatrics Physician · Castro Valley, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Gaughen, D.O. is a Pediatrics Physician provider in Castro Valley, CA (NPI 1184988008).
Provider details
- NPI number
- 1184988008
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- AC3890313-T050 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 4440 W 95th StOak Lawn, IL 60453-2600Phone: (708) 684-3296
- 919 2nd St NeCanton, OH 44704-1132Phone: (330) 453-3386
Registry dates
- Enumerated
- 2012-06-25
- Last updated
- 2024-10-03
- Certified
- 2024-10-03
Frequently asked questions
- What is Kelly Gaughen's NPI number?
- Kelly Gaughen's National Provider Identifier (NPI) is 1184988008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Gaughen's specialty?
- Kelly Gaughen is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Gaughen located?
- Kelly Gaughen's practice location on file with NPPES is 20101 Lake Chabot Rd Fl 3, Castro Valley, CA 94546-5305.
- What is Kelly Gaughen's phone number?
- The practice phone number listed in the NPPES registry for Kelly Gaughen is (510) 886-3400.
- Does Kelly Gaughen accept Medicare?
- Kelly Gaughen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Gaughen's NPI active?
- Yes — Kelly Gaughen's NPI (1184988008) is active in the NPPES registry as of the last update on 2024-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.