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VANGUARD PERFORMANCE
NPI 1063249282
Clinic/Center - Multi-Specialty in Santa Rosa, CA

Active since September 19, 2024
2901 CLEVELAND AVE STE 202, SANTA ROSA, CA 95403(707) 968-1555(844) 426-0134 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vanguard Performance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANGUARD PERFORMANCE (NPI 1063249282) is a healthcare organization registered as a multi-specialty in Santa Rosa, California and active in the NPI registry since September 2024. The organization lists Ben Pahlavan, Owner, as its authorized official.

NPPES Registry Identity

NPI1063249282
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVANGUARD PERFORMANCE, LLC
Location Address2901 CLEVELAND AVE STE 202Santa Rosa, CA 95403-2788
Mailing Address2901 Cleveland Ave Ste 103Santa Rosa, CA 95403-2788 · (707) 338-5927 · Fax (844) 426-0134
Phone(707) 968-1555
Fax(844) 426-0134
Organization SubpartNo
Authorized OfficialBen PahlavanOwner · (707) 338-5927
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1063249282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2901 CLEVELAND AVE STE 202, Santa Rosa, CA 95403
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Other Names 1

Doing Business AsVanguard Performance

Other Providers at the Same Location NPPES

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

GABRIELLE MIRANDA RADT
Counselor (Addiction (Substance Use Disorder))
2901 CLEVELAND AVE STE 202
SANTA ROSA, CA 95403
Sonoma County (707) 879-8432

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 Vanguard Performance, LLC's NPI number?

The NPI number for Vanguard Performance, LLC is 1063249282. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is doing business as Vanguard Performance.

Where is Vanguard Performance, LLC located?

Vanguard Performance, LLC is located at 2901 Cleveland Ave Ste 202, Santa Rosa, CA 95403. The listed phone number is (707) 968-1555.

What is Vanguard Performance, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Vanguard Performance, LLC was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.