VIRGINIA ADVANCED MEDICAL CENTER, PC
NPI 1942451695
Clinic/Center - Primary Care in Fairfax, VA

Q: What is Virginia Advanced Medical Center, PC's NPI number?

The NPI number for Virginia Advanced Medical Center, PC is 1942451695. It was assigned to this organization in the NPPES registry on September 30, 2008.

Q: What is Virginia Advanced Medical Center, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 30, 2008

3930 PENDER DR STE 320, FAIRFAX, VA 22030(703) 817-7770(703) 563-6274 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Virginia Advanced Medical Center, Pc NPPES

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

VIRGINIA ADVANCED MEDICAL CENTER, PC (NPI 1942451695) is a healthcare organization registered as a primary care in Fairfax, Virginia and active in the NPI registry since September 2008. The organization lists Chin Kim, Physician, as its authorized official.

NPPES Registry Identity

NPI1942451695

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameVIRGINIA ADVANCED MEDICAL CENTER, PC

Location Address3930 PENDER DR STE 320Fairfax, VA 22030-0986

Mailing Address3930 Pender Dr Ste 320Fairfax, VA 22030-0986 · (703) 817-7770 · Fax (703) 563-6274

Phone(703) 817-7770

Fax(703) 563-6274

Organization SubpartNo

Authorized OfficialChin KimPhysician · (703) 817-7770

Enumeration DateSeptember 30, 2008

Last NPPES UpdateAugust 22, 2011

✔ NPI 1942451695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

3930 PENDER DR STE 320, Fairfax, VA 22030

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Virginia Advanced Medical Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Virginia Advanced Medical Center, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chin Oh Kim, MD

General Practice

NPI 1770636508

3930 PENDER DR STE 320
Fairfax, VA 22030

(703) 817-7770

✔ PECOS✔ Accepts MedicareSame address

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

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 49D2120223

Virginia Advanced Medical Center · Fairfax, VA

Expired · Oct 11, 2026

CLIA Number49D2120223

Laboratory TypePhysician Office

Certificate Effective DateOctober 12, 2024

Certificate Expiration DateOctober 11, 2026

Laboratory DirectorChin Oh Kim

Laboratory Phone(703) 817-7770

Laboratory LocationVirginia Advanced Medical Center3090 Pender Drive #320, Fairfax, VA 22030

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 Virginia Advanced Medical Center, PC's NPI number?

The NPI number for Virginia Advanced Medical Center, PC is 1942451695. It was assigned to this organization in the NPPES registry on September 30, 2008.

Where is Virginia Advanced Medical Center, PC located?

Virginia Advanced Medical Center, PC is located at 3930 Pender Dr Ste 320, Fairfax, VA 22030. The listed phone number is (703) 817-7770.

What is Virginia Advanced Medical Center, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Virginia Advanced Medical Center, PC enrolled in Medicare?

Yes. Virginia Advanced Medical Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Virginia Advanced Medical Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Virginia Advanced Medical Center, PC. 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 Virginia Advanced Medical Center, PC was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.