Healthcare Provider Details

I. General information

NPI: 1801720750
Provider Name (Legal Business Name): STEPHEN VAUGHAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 VISTA CT
REDWOOD CITY CA
94062-3128
US

IV. Provider business mailing address

668 VISTA CT
REDWOOD CITY CA
94062-3128
US

V. Phone/Fax

Practice location:
  • Phone: 650-367-5709
  • Fax:
Mailing address:
  • Phone: 650-380-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN VAUGHAN
Title or Position: AO
Credential: MD
Phone: 650-380-6011