CARLOS R. VIGIL, D.O. (A PROFESSIONAL CORPORATION)
NPI 1003053398
Clinic/Center - Primary Care in Rancho Cucamonga, CA
About Carlos R. Vigil, D.o. (a Professional Corporation) NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS R. VIGIL, D.O. (A PROFESSIONAL CORPORATION) (NPI 1003053398) is a healthcare organization registered as a primary care in Rancho Cucamonga, California and active in the NPI registry since January 2009. The organization lists Susan Vigil, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carlos R. Vigil, D.o. (a Professional Corporation) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Carlos R. Vigil, D.O. (a Professional Corporation), which bills Medicare for the services this clinician delivers.
Clinician (1)
Rancho Cucamonga, CA 91730
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Carlos R. Vigil, D.O. (a Professional Corporation)'s NPI number?
The NPI number for Carlos R. Vigil, D.O. (a Professional Corporation) is 1003053398. It was assigned to this organization in the NPPES registry on January 8, 2009.
Where is Carlos R. Vigil, D.O. (a Professional Corporation) located?
Carlos R. Vigil, D.O. (a Professional Corporation) is located at 7974 Haven Ave Suite 210, Rancho Cucamonga, CA 91730. The listed phone number is (909) 941-0661.
What is Carlos R. Vigil, D.O. (a Professional Corporation)'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Carlos R. Vigil, D.O. (a Professional Corporation) enrolled in Medicare?
Yes. Carlos R. Vigil, D.O. (a Professional Corporation) is registered in the Medicare PECOS enrollment system.
When is Carlos R. Vigil, D.O. (a Professional Corporation)'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Carlos R. Vigil, D.O. (a Professional Corporation)?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Carlos R. Vigil, D.O. (a Professional Corporation). 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Carlos R. Vigil, D.O. (a Professional Corporation) was last updated on January 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Carlos R. Vigil, D.o. (a Professional Corporation) · NPI 1003053398
Primary Care organization in Rancho Cucamonga, California. Organization record, active in the CMS NPPES registry since January 8, 2009.
## Identity
- **NPI:** 1003053398 (Entity type: Organization)
- **Enumerated:** January 8, 2009
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Susan Vigil, MANAGER
## Practice location
- **Address:** 7974 HAVEN AVE, SUITE 210, Rancho Cucamonga, CA 91730-3052
- **Phone:** (909) 941-0661 · **Fax:** (909) 948-5577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2009
- **Other identifiers:** Medicaid 00AX74460 (CA); Medicare UPIN H32331 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1003053398) · Data from the CMS NPPES public registry.