Active NPI
Vanguard Labs LLC
- Substance Abuse Rehabilitation Facility
- Agoura Hills, CA
National Provider Identifier
1043190226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- VANGUARD LABS LLC
- Practice address
- 28310 Roadside Dr Ste 218
Agoura Hills, CA 91301-4942 - Phone
- (646) 275-2111
- NPI assigned
- Sep 6, 2025
- Last updated
- May 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joshua Wolf
- Title
- Partner
- Phone
- (646) 275-2111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
28310 Roadside Dr Ste 218
Agoura Hills, CA 91301-4942
Mailing address
28310 Roadside Dr Ste 218
Agoura Hills, CA 91301-4942
Phone (646) 275-2111
National Provider Directory
National Provider Directory- Tax ID family
- Vanguard Labs LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Harrisburg, PA
- NPI 1942120167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1043190226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28310 ROADSIDE DR STE 218",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913014942",
"telephone_number": "646-275-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28310 ROADSIDE DR STE 218",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913014942",
"telephone_number": "646-275-2111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANGUARD LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-06",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "646-275-2111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.