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NPI Code Detail

MEDICARE: STEPHEN VAUGHAN MD, INC.

MEDICARE: STEPHEN VAUGHAN MD, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1801720750
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHEN VAUGHAN MD, INC.
Provider Business Mailing Address
First Line : 668 VISTA CT
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94062-3128
Country : US
Telephone Number : 650-380-6011
Fax Number :
Provider Business Practice Location Address
First Line : 170 ALAMEDA DE LAS PULGAS
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94062-2751
Country : US
Telephone Number : 650-367-5709
Fax Number :
Authorized Official
Title or Position : AO
Name : STEPHEN VAUGHAN
Credential : MD
Telephone Number : 650-380-6011
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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