Auburn Medical Group, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A67399 Issued in CA

Legal business name

AUBURN MEDICAL GROUP, INC

Practice address

3280 Professional Dr
Auburn, CA 95602-2412

Phone

(530) 886-8630

Fax

(530) 886-8629

NPI assigned

Aug 18, 2006

Last updated

Feb 19, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Andrew Vaughan, M.D.NPI 1053303461

Title

Ceo

Phone

(530) 886-8630

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mark A Vaughan, M.D.

  • General Practice Physician
  • Auburn, CA
  • NPI 1053303461

  I20050316000570

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark A Vaughan, M.D.

  • General Practice Physician
  • Auburn, CA
  • NPI 1053303461
  Medicare reassignment Care Compare group NPD Authorized official
• Gregory Gawayne Vaughan, M.D.

  • Family Medicine Physician
  • Auburn, CA
  • NPI 1023270030
  Medicare reassignment Care Compare group NPD
• Ryan Hung Lu

  • Medical Physician Assistant
  • Auburn, CA
  • NPI 1528835931
  Medicare reassignment Care Compare group
• Justine Auer

  • Family Nurse Practitioner
  • Sacramento, CA
  • NPI 1225566730
  Medicare reassignment NPD
• Megan Marie Mobley, FNP-C

  • Family Nurse Practitioner
  • Lincoln, CA
  • NPI 1912542846
  Medicare reassignment NPD
• Jillian Lee Oliver, FNP

  • Family Nurse Practitioner
  • Auburn, CA
  • NPI 1750092029
  Medicare reassignment NPD
• Valarie Kane, PA-C

  • Physician Assistant
  • Auburn, CA
  • NPI 1396180816
  Medicare reassignment
• Andrea Marissa Olivas, PA-C

  • Physician Assistant
  • Auburn, CA
  • NPI 1083463277
  NPD (past)
• Nancy Lynn West, MD

  • Obstetrics & Gynecology Physician
  • Auburn, CA
  • NPI 1083638332
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1720192560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 PROFESSIONAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022412",
            "telephone_number": "530-886-8630",
            "fax_number": "530-886-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 PROFESSIONAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022412",
            "telephone_number": "530-886-8630",
            "fax_number": "530-886-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-886-8630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A67399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Auburn Family Optometry, Inc.
• Auburn Hearing Aid & Speech Center
• Auburn Hill Chiropractic Corporation (Hill Chiropractic & Sports Therapy)
• Auburn Hills Recovery LLC
• Auburn Medical Clinic
• Auburn Neurology Medical Group, Inc
• Auburn Orthopaedic Medical Group
• Auburn Orthopedic & Sports Physical
• Auburn Pain Rehabilitation Medical Ctr.
• Auburn Surgical Center LP

• General Practice Physician in Auburn, CA
• Providers in Auburn, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.