Kelly Mead Gaughen, D.O.
NPI 1184988008ActiveIndividual· Pediatrics· Castro Valley, CA
Pediatrics (D.O.) in Castro Valley, California, licensed in CA, IL and OH, with an NPI issued in June 2012. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1184988008 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 25, 2012 |
| Last updated in NPPES | Oct 3, 2024 |
| Certified by provider | Oct 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 20A22401 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | AC3890313-T050 | IL |
| Pediatrics | 208000000X | 036.137326 | IL |
| Pediatrics | 208000000X | 34.012728 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (CA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 16 pediatricians in Castro Valley · All pediatricians in California