Beaches Family Medicine PA
NPI 1407986920 · Family Medicine Physician · Jacksonville Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beaches Family Medicine PA is a Family Medicine Physician organization in Jacksonville Beach, FL (NPI 1407986920).
Provider details
- NPI number
- 1407986920
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vaughn Dobalian, Physician and Owner(904) 247-1911
- License
- OS0004709 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2022-08-24
- Certified
- 2022-08-24
Frequently asked questions
- What is Beaches Family Medicine PA's NPI number?
- Beaches Family Medicine PA's National Provider Identifier (NPI) is 1407986920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaches Family Medicine PA?
- Beaches Family Medicine PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Beaches Family Medicine PA located?
- Beaches Family Medicine PA's practice location on file with NPPES is 228 6th Ave S, Jacksonville Beach, FL 32250-6634.
- What is Beaches Family Medicine PA's phone number?
- The practice phone number listed in the NPPES registry for Beaches Family Medicine PA is (904) 247-1911.
- Does Beaches Family Medicine PA accept Medicare?
- Beaches Family Medicine PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Beaches Family Medicine PA?
- The authorized official listed on Beaches Family Medicine PA's NPPES record is Vaughn Dobalian, Physician and Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaches Family Medicine PA's NPI active?
- Yes — Beaches Family Medicine PA's NPI (1407986920) is active in the NPPES registry as of the last update on 2022-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.