Active NPI
Vanguard University
- Student Health Clinic/Center
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- Legal business name
- VANGUARD UNIVERSITY
- Practice address
- 55 Fair Dr
Costa Mesa, CA 92626-6520 - Phone
- (714) 619-6617
- NPI assigned
- Mar 15, 2012
- Last updated
- Mar 15, 2012
- 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
- Darin Voigt
- Title
- Head Athletic Trainer
- Phone
- (714) 619-6617
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Primary |
Addresses
Primary practice location
55 Fair Dr
Costa Mesa, CA 92626-6520
Mailing address
PO Box 819020
Dallas, TX 75381-9020
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2102182 | Vanguard University Health Center | Certificate of waiver | Sep 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
55 Fair Dr
Costa Mesa, CA 92626
Phone (714) 556-3610
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Athletic Trainer
- Costa Mesa, CA
- NPI 1649231770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331769600000",
"number": "1811262454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 819020",
"city": "DALLAS",
"state": "TX",
"postal_code": "753819020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FAIR DR",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926266520",
"telephone_number": "714-619-6617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANGUARD UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-15",
"last_updated": "2012-03-15",
"status": "A",
"authorized_official_last_name": "VOIGT",
"authorized_official_first_name": "DARIN",
"authorized_official_title_or_position": "HEAD ATHLETIC TRAINER",
"authorized_official_telephone_number": "714-619-6617"
},
"taxonomies": [
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.