| Auburn Medical Group, Inc | |
|
3280 Professional Dr Auburn CA 95602-2412 | |
| (530) 886-8630 | |
| (530) 886-8629 |
| Full Name | Auburn Medical Group, Inc |
|---|---|
| Speciality | General Practice |
| Location | 3280 Professional Dr, Auburn, California |
| Authorized Official Name and Position | Mark Andrew Vaughan (CEO) |
| Authorized Official Contact | 5308868630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Medical Group, Inc 3280 Professional Dr Auburn CA 95602-2412 Ph: (530) 886-8630 | Auburn Medical Group, Inc 3280 Professional Dr Auburn CA 95602-2412 Ph: (530) 886-8630 |
| NPI Number | 1720192560 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 02/19/2020 |
| Medicare PECOS PAC ID | 6800890179 |
|---|---|
| Medicare Enrollment ID | O20060830000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720192560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A67399 (California) | Primary |
| Provider Name | Mark A Vaughan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053303461 PECOS PAC ID: 1355396920 Enrollment ID: I20050316000570 |
| Provider Name | Gregory G Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023270030 PECOS PAC ID: 6507030194 Enrollment ID: I20130711000807 |
| Provider Name | Justine N Auer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225566730 PECOS PAC ID: 3678842135 Enrollment ID: I20170627002113 |
| Provider Name | Megan Marie Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912542846 PECOS PAC ID: 1658705074 Enrollment ID: I20191218000281 |
| Provider Name | Jillian Lee Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750092029 PECOS PAC ID: 2163896085 Enrollment ID: I20230316000482 |
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