JESSICA JORINE VAUGHN DO
NPI 1639691298
Pediatrics in Santa Maria, CA

Active since July 14, 2017PECOS Enrolled
235 S PALISADE DR, SANTA MARIA, CA 93454(805) 739-3561(805) 739-3560 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 8, 2023, Jun 7, 2023, Aug 29, 2020 and 2 more (5 updates tracked since 2017).

About Jessica Jorine Vaughn Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA JORINE VAUGHN DO (NPI 1639691298) is an individual pediatrics provider in Santa Maria, California, licensed in California (20A16893) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1639691298
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJESSICA JORINE VAUGHNCredential: DO
Location Address235 S PALISADE DRSanta Maria, CA 93454-5948
Mailing Address235 S Palisade DrSanta Maria, CA 93454-5948 · (805) 739-3561 · Fax (805) 739-3560
Fax(805) 739-3560
Sole ProprietorNo
Enumeration DateJuly 14, 2017
Last NPPES UpdateNovember 8, 20235 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1639691298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 20A16893
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
235 S PALISADE DR, Santa Maria, CA 93454

Secondary Practice Location 1

Location 12315 Stockton BlvdSacramento, CA 95817-2201 · Phone (916) 734-2011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Jorine Vaughn Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Vaughn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health
235 S PALISADE DR
Santa Maria, CA 93454
  • Reassigned Medicare billing, California enrollment
  • 263 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
235 S PALISADE DR
SANTA MARIA, CA 93454
Family Medicine
235 S PALISADE DR
SANTA MARIA, CA 93454
Family Medicine
235 S PALISADE DR
SANTA MARIA, CA 93454
Student in an Organized Health Care Education/Training Program
235 S PALISADE DR
SANTA MARIA, CA 93454
Hospitalist
235 S PALISADE DR
SANTA MARIA, CA 93454
Student in an Organized Health Care Education/Training Program
235 S PALISADE DR
SANTA MARIA, CA 93454
Family Medicine
235 S PALISADE DR
SANTA MARIA, CA 93454
Family Medicine
235 S PALISADE DR
SANTA MARIA, CA 93454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Vaughn's NPI number?

The NPI number for Jessica Vaughn is 1639691298. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Jessica Vaughn located?

Jessica Vaughn practices at 235 S Palisade Dr, Santa Maria, CA 93454. The listed phone number is (805) 739-3561.

What is Jessica Vaughn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jessica Vaughn enrolled in Medicare?

Yes. Jessica Vaughn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Vaughn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Vaughn reassigns Medicare benefits to Pacific Central Coast Health Centers (Santa Maria, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Vaughn was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.