VANGUARD MOBILE PHYSICIANS PLLC
NPI 1508309626
Nurse Practitioner - Community Health in Gilbert, AZ

Q: What is Vanguard Mobile Physicians PLLC's NPI number?

The NPI number for Vanguard Mobile Physicians PLLC is 1508309626. It was assigned to this organization in the NPPES registry on November 21, 2016.

Q: What is Vanguard Mobile Physicians PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Active since November 21, 2016

105 N PASADENA ST STE 3, GILBERT, AZ 85233(480) 246-3500(480) 246-3525 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2020, Jan 13, 2017, Nov 21, 2016 (3 updates tracked since 2016).

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About Vanguard Mobile Physicians Pllc NPPES

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

VANGUARD MOBILE PHYSICIANS PLLC (NPI 1508309626) is a healthcare organization registered as a community health in Gilbert, Arizona and active in the NPI registry since November 2016. The organization lists Tarik M Shirif, Ceo, President, as its authorized official.

NPPES Registry Identity

NPI1508309626

Entity TypeOrganization

Primary Taxonomy363LC1500X

Legal Business NameVANGUARD MOBILE PHYSICIANS PLLC

Location Address105 N PASADENA ST STE 3Gilbert, AZ 85233-5013

Mailing Address105 N Pasadena St Ste 3Gilbert, AZ 85233-5013 · (480) 246-3500 · Fax (480) 246-3525

Phone(480) 246-3500

Fax(480) 246-3525

Organization SubpartNo

Authorized OfficialTarik M ShirifCeo, President · (480) 246-3593

Enumeration DateNovember 21, 2016

Last NPPES UpdateSeptember 14, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2020

✔ NPI 1508309626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC1500X

Also ListedPhysician AssistantTaxonomy 363A00000X

105 N PASADENA ST STE 3, Gilbert, AZ 85233

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vanguard Mobile Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Vanguard Mobile Physicians PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Khalid Shirif, M.D.

Hospice/Palliative Care

NPI 1407927130

105 N PASADENA ST
Gilbert, AZ 85233

(480) 268-2670

✔ PECOS✔ Accepts MedicareSame address

Lester Ignacio, NP

Nurse Practitioner

NPI 1295310704

6991 E CAMELBACK RD STE 300
Scottsdale, AZ 85251

(708) 628-2326

✔ PECOS✔ Accepts Medicare12 mi

Kelly Harte, FNP-BC

Nurse Practitioner

NPI 1437536158

21321 E OCOTILLO RD STE 133
Queen Creek, AZ 85142

(480) 987-5525

✔ PECOS✔ Accepts Medicare14 mi

Lisa Mendivil, CNP

Nurse Practitioner

NPI 1992541502

5390 E ERICKSON DR
Tucson, AZ 85712

(520) 314-1545

✔ PECOS✔ Accepts Medicare94 mi

Sandrine Ndetah, APRN FNP-BC

Nurse Practitioner

NPI 1639843634

489 5TH AVE FL 3
New York, NY 10017

(415) 658-6791

✔ PECOS✔ Accepts Medicare2,136 mi

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 Vanguard Mobile Physicians PLLC's NPI number?

The NPI number for Vanguard Mobile Physicians PLLC is 1508309626. It was assigned to this organization in the NPPES registry on November 21, 2016.

Where is Vanguard Mobile Physicians PLLC located?

Vanguard Mobile Physicians PLLC is located at 105 N Pasadena St Ste 3, Gilbert, AZ 85233. The listed phone number is (480) 246-3500.

What is Vanguard Mobile Physicians PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Is Vanguard Mobile Physicians PLLC enrolled in Medicare?

Yes. Vanguard Mobile Physicians PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vanguard Mobile Physicians PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Vanguard Mobile Physicians PLLC. 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 (4) and Hospice/Palliative Care (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vanguard Mobile Physicians PLLC was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.