VANGUARD MEDICAL CORPORATION
NPI 1164270807
Clinic/Center - Rural Health in Wasco, CA

Active since May 08, 2024CLIA Certified · 3 labs

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vanguard Medical Corporation NPPES

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

VANGUARD MEDICAL CORPORATION (NPI 1164270807) is a healthcare organization registered as a rural health in Wasco, California and active in the NPI registry since May 2024. The organization holds 3 active CLIA laboratory certificates and lists Novira Sunner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1164270807
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameVANGUARD MEDICAL CORPORATION
Location Address841 7TH STWasco, CA 93280-1919
Mailing Address565 Kern StShafter, CA 93263-2133 · (661) 746-4937
Organization SubpartNo
Authorized OfficialNovira SunnerAdministrator · (661) 599-5310
Enumeration DateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1164270807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
841 7TH ST, Wasco, CA 93280

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)

Vanguard Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20140813002697Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Vanguard Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner12
Chiropractic4
Internal Medicine2
Family Practice1
General Practice1
Pediatric Medicine1

Nearest to this location (20)

See all 21
Nurse Practitioner
NPI 1447198932
845 7TH ST
Wasco, CA 93280
(661) 459-1000
✔ PECOSSame address
Nurse Practitioner
NPI 1194728477
320 JAMES ST
Shafter, CA 93263
(661) 459-1814
✔ PECOS✔ Accepts Medicare7.0 mi
General Practice
NPI 1760545925
406 JAMES ST
Shafter, CA 93263
(661) 746-5788
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1902364151
565 KERN ST
Shafter, CA 93263
(661) 459-1000
✔ PECOS7.2 mi
Internal Medicine
NPI 1841264918
565 KERN ST
Shafter, CA 93263
(661) 746-4937
✔ PECOS✔ Accepts Medicare7.2 mi
Family Practice
NPI 1255336665
565 KERN ST
Shafter, CA 93263
(661) 746-4937
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1881875805
565 KERN ST
Shafter, CA 93263
(661) 746-4937
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1265958235
565 KERN STREET
Shafter, CA 93263
(661) 746-4937
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1649055658
565 KERN ST
Shafter, CA 93263
(661) 746-4937
✔ PECOS✔ Accepts Medicare7.2 mi
Chiropractic
NPI 1225197627
655 S CENTRAL VALLEY HWY
Shafter, CA 93263
(661) 746-9194
✔ Accepts Medicare7.9 mi
Chiropractic
NPI 1861518458
655 S CENTRAL VALLEY HWY
Shafter, CA 93263
(661) 459-1927
✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1215671722
8150 HAGEMAN RD
Bakersfield, CA 93312
(661) 459-1010
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1164064788
5143 OFFICE PARK DR
Bakersfield, CA 93309
(661) 331-5468
✔ PECOS✔ Accepts Medicare22 mi
Chiropractic
NPI 1154302875
2140 BRUNDAGE LANE
Bakersfield, CA 93304
(661) 873-4742
✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1245869874
210 N CHESTER AVE
Bakersfield, CA 93308
(800) 333-6664
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1144936576
1611 HEIGHT ST
Bakersfield, CA 93305
(661) 748-1300
✔ PECOS25 mi
Nurse Practitioner
NPI 1720216161
4550 PANAMA LN STE 100
Bakersfield, CA 93313
(661) 631-2229
✔ PECOS✔ Accepts Medicare26 mi
Chiropractic
NPI 1427152651
330 W CALDWELL AVE
Visalia, CA 93277
(559) 733-0988
✔ Accepts Medicare49 mi
Nurse Practitioner
NPI 1447850367
1100 MAGELLAN DR
Tehachapi, CA 93561
(661) 823-3000
✔ PECOS✔ Accepts Medicare59 mi
Pediatric Medicine
NPI 1134324148
18321 CLARK ST
Tarzana, CA 91356
(818) 881-0800
✔ PECOS108 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0723619

Vanguard Medical Corporation · Shafter, CA
Active · expires Aug 31, 2028
CLIA Number05D0723619
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJae J. Kim MD
Laboratory Phone(661) 746-4937
Laboratory LocationVanguard Medical Corporation565 Kern Street, Shafter, CA 93263
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2314964

Vanguard Medical Corporation · Wasco, CA
Active · expires Dec 2, 2026
CLIA Number05D2314964
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorChan H. Park
Laboratory Phone(661) 459-1001
Laboratory LocationVanguard Medical Corporation841 7th Street, Wasco, CA 93280
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2280327

Vanguard Medical Corporation · Arvin, CA
Active · expires Apr 17, 2027
CLIA Number05D2280327
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorChan Park
Laboratory Phone(661) 599-5310
Laboratory LocationVanguard Medical Corporation1100 Bear Mountain Blvd, Arvin, CA 93203
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Corporation's NPI number?

The NPI number for Vanguard Medical Corporation is 1164270807. It was assigned to this organization in the NPPES registry on May 8, 2024.

Where is Vanguard Medical Corporation located?

Vanguard Medical Corporation is located at 841 7th St, Wasco, CA 93280. The listed phone number is (661) 459-1001.

What is Vanguard Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Vanguard Medical Corporation enrolled in Medicare?

Yes. Vanguard Medical Corporation is registered in the Medicare PECOS enrollment system.

When is Vanguard Medical 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 October 31, 2026. 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 Vanguard Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 6 Medicare specialties reassign their Medicare billing to Vanguard Medical 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. The largest specialties are Nurse Practitioner (12), Chiropractic (4) and Internal Medicine (2). Of these, 1 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vanguard Medical Corporation hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Vanguard Medical Corporation was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.