Active NPI
Samantha Jade Vaughan, PA-C
- Physician Assistant
- Santa Barbara, CA
National Provider Identifier
1689960825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 19583
- Practice address
- 1722 State St Ste 203
Santa Barbara, CA 93101-2526 - Phone
- (805) 569-1950
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 19583 | CA | Primary |
Addresses
Primary practice location
1722 State St Ste 203
Santa Barbara, CA 93101-2526
Mailing address
1722 State St Ste 203
Santa Barbara, CA 93101-2526
Phone (805) 569-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19583 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1689960825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 STATE ST STE 203",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012526",
"telephone_number": "805-569-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 STATE ST STE 203",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012526",
"telephone_number": "805-569-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "SAMANTHA",
"middle_name": "JADE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "19583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.