Active NPI
Vanguard Clinical Oversight, a Medical Corporation
- Family Medicine Physician
- Granite Bay, CA
National Provider Identifier
1669310397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VANGUARD CLINICAL OVERSIGHT, A MEDICAL CORPORATION
- Practice address
- 3572 Northranch Way
Granite Bay, CA 95661-5973 - Phone
- (509) 730-4720
- Fax
- (509) 331-7054
- NPI assigned
- Mar 23, 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
- Dr. Mark Y Liu, DO
- Title
- Owner/President
- Phone
- (509) 730-4720
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3572 Northranch Way
Granite Bay, CA 95661-5973
Mailing address
6644 Lonetree Blvd Ste 300
Rocklin, CA 95765-4432
Phone (509) 730-4720
National Provider Directory
National Provider DirectoryLocations
6644 Lonetree Blvd
Ste 300
Rocklin, CA 95765
Phone (202) 256-4116
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Rocklin, CA
- NPI 1710967914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1669310397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6644 LONETREE BLVD STE 300",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957654432",
"telephone_number": "509-730-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3572 NORTHRANCH WAY",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "956615973",
"telephone_number": "509-730-4720",
"fax_number": "509-331-7054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANGUARD CLINICAL OVERSIGHT, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "LIU",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "509-730-4720",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.