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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: August 02, 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

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.

Other Providers at the Same Location NPPES 8

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

MRS. ANDREA MARISSA OLIVAS PA-C
Physician Assistant
3280 PROFESSIONAL DR
AUBURN, CA 95602
Nevada County (530) 886-8630
NANCY LYNN WEST MD
Obstetrics & Gynecology
3280 PROFESSIONAL DR, SUITE A
AUBURN, CA 95602
Nevada County (530) 885-2186
VALARIE KANE PA-C
Physician Assistant
3280 PROFESSIONAL DR
AUBURN, CA 95602
Nevada County (530) 886-8630
RYAN HUNG LU
Physician Assistant (Medical)
3280 PROFESSIONAL DR
AUBURN, CA 95602
Nevada County (530) 886-8630
JUSTIN JAMES TYNAN PA-C, MPH
Family Medicine
3280 PROFESSIONAL DR
AUBURN, CA 95602
Nevada County (530) 886-8630
CORNELIUS WILLIAM LANE MD
Obstetrics & Gynecology
3280 PROFESSIONAL DR, SUITE A
AUBURN, CA 95602
Nevada County (530) 887-0646
JILLIAN LEE OLIVER FNP
Nurse Practitioner (Family)
3280 PROFESSIONAL DR
AUBURN, CA 95602
Nevada County (530) 886-8630
FRANCES LORELIE PATMON PHD, FNP-C
Nurse Practitioner (Family)
3280 PROFESSIONAL DR
AUBURN, CA 95602
Nevada County (530) 886-8630

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.

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.