Organization Active NPI

Vanguard Clinical Oversight, a Medical Corporation

  • Family Medicine Physician
  • Granite Bay, CA
National Provider Identifier
1669310397
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Mar 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark Y Liu, DONPI 1710967914
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.