Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deidre Vaughn, PA-C

Individual provider Physician Assistant · NPI 1437519931

Deidre Vaughn, PA-C is a Physician Assistant in Santa Rosa, California. Graduated from Tufts University School of Medicine in 2016, 10 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Massachusetts.

Years since qualifying
10
Trained at
Tufts University School of Medicine
Licensed in
CA, MA
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

525 Doyle Park Dr Ste 102
Santa Rosa, CA 95405-4562
Phone: (707) 387-3922
Fax: (707) 523-0679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Mall Rd, Burlington, MA 01805-0001 — (781) 744-7580

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65505 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA5692 (MA)
Surgical Physician Assistant Taxonomy 363AS0400X (MA)

Record details

NPI number1437519931
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 26, 2016
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Santa Rosa