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AUBURN MEDICAL GROUP, INC
NPI 1720192560
General Practice in Auburn, CA

Active since August 18, 2006CLIA 05D1046504 · Waiver
3280 PROFESSIONAL DR, AUBURN, CA 95602(530) 886-8630(530) 886-8629 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Auburn Medical Group, Inc NPPES

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

AUBURN MEDICAL GROUP, INC (NPI 1720192560) is a healthcare organization registered as a general practice in Auburn, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Mark Andrew Vaughan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720192560
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameAUBURN MEDICAL GROUP, INC
Location Address3280 PROFESSIONAL DRAuburn, CA 95602-2412
Mailing Address3280 Professional DrAuburn, CA 95602-2412 · (530) 886-8630 · Fax (530) 886-8629
Phone(530) 886-8630
Fax(530) 886-8629
Organization SubpartNo
Authorized OfficialMark Andrew VaughanCeo · (530) 886-8630
Enumeration DateAugust 18, 2006
Last NPPES UpdateFebruary 19, 2020
✔ NPI 1720192560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A67399
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3280 PROFESSIONAL DR, Auburn, CA 95602
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Auburn Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Auburn Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Jillian Oliver, FNP
Nurse Practitioner
NPI 1750092029
3280 PROFESSIONAL DR
Auburn, CA 95602
(530) 886-8630
✔ PECOSSame address
Gregory Vaughan, M.D.
Family Practice
NPI 1023270030
3256 PROFESSIONAL DR
Auburn, CA 95602
(530) 886-8630
✔ PECOS✔ Accepts Medicare0.1 mi
Mark Vaughan, M.D.
General Practice
NPI 1053303461
3256 PROFESSIONAL DR
Auburn, CA 95602
(530) 886-8630
✔ PECOS✔ Accepts Medicare0.1 mi
Megan Mobley, FNP-C
Nurse Practitioner
NPI 1912542846
77 LINCOLN BLVD STE 1
Lincoln, CA 95648
(916) 258-2751
✔ PECOS✔ Accepts Medicare11 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1046504

Auburn Medical Group Inc · Auburn, CA
Active · expires Oct 30, 2027
CLIA Number05D1046504
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorMark Vaughan MD
Laboratory Phone(530) 886-8630
Laboratory LocationAuburn Medical Group Inc3280 Professional Dr, Auburn, CA 95602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Auburn Medical Group, Inc's NPI number?

The NPI number for Auburn Medical Group, Inc is 1720192560. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Auburn Medical Group, Inc located?

Auburn Medical Group, Inc is located at 3280 Professional Dr, Auburn, CA 95602. The listed phone number is (530) 886-8630.

What is Auburn Medical Group, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Auburn Medical Group, Inc enrolled in Medicare?

Yes. Auburn Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Auburn Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Auburn Medical Group, Inc, in Family Practice, General Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Auburn Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1046504) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Auburn Medical Group, Inc was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.