Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vanguard Clinical Oversight, a Medical Corporation

Organization Family Medicine Physician · NPI 1669310397

Vanguard Clinical Oversight, a Medical Corporation provides Family Medicine Physician services in Granite Bay, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3572 Northranch Way
Granite Bay, CA 95661-5973
Phone: (509) 730-4720
Fax: (509) 331-7054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1669310397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Liu — Owner/President · (509) 730-4720
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address6644 Lonetree Blvd Ste 300, Rocklin, CA 95765-4432

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