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

Active since May 08, 2024CLIA Certified · 2 labs

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 30, 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 2 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

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 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.

Certificate of Waiver 05D0723619

Vanguard Medical Corporation · Shafter, CA
Expired · Aug 31, 2026
CLIA Number05D0723619
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
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.

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.

Does Vanguard Medical Corporation hold CLIA laboratory certificates?

Yes. 2 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.