NPIMap

Individual provider Active NPI

Jerome De Vera, DO

  • Pulmonary Disease Physician
  • Ventura, CA
National Provider Identifier
1093211138
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
20A17593 Issued in CA
Practice address
168 N Brent St Ste 406
Ventura, CA 93003-2824
Phone
(805) 653-6371
NPI assigned
Apr 5, 2018
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X 20A17593 CA Primary

Addresses

Primary practice location

168 N Brent St Ste 406
Ventura, CA 93003-2824

Mailing address

11234 Anderson Street
Gme Office Westerly Suite C
Loma Linda, CA 92354-2804

Other practice location 1

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6000

Other practice location 2

11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-4174

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jerome.devera@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716002519 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1153866967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ventura Pulmonary and Critical Care Medical GroupGroup PAC ID 6608811096, 7 clinicians

Practice addresses (Care Compare)

168 N Brent St
Suite 503
Ventura, CA 93003-2840
Phone (805) 653-6371

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A17593CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Pulmonary and Critical Care Medical Group Pulmonary Disease CurrentSince Aug 1, 2024 Accepting new patients
County of Ventura CurrentSince Aug 2, 2024 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Aug 2, 2024 Accepting new patients
Renal Consultants of Ventura County, Inc PastSince Jun 9, 2024 Accepting new patients

Locations

168 N Brent St
Ste 406
Ventura, CA 93003
Phone (805) 653-6371

168 N Brent St
Ste 503
Ventura, CA 93003
Phone (805) 653-0101

2721 E Main St
Ventura, CA 93003
Phone (805) 656-6272

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBCJAD
  • Direct secure messaging: jerome.de.vera.1@11820.direct.athenahealth.com
  • Direct secure messaging: jerome.devera@ventura.cernerdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1093211138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON STREET",
            "address_2": "GME OFFICE WESTERLY SUITE C",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 406",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032824",
            "telephone_number": "805-653-6371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031651",
            "country_code": "US",
            "telephone_number": "805-652-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11234 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "JEROME",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "20A17593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerome.devera@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "300 Hillmont Ave",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930031651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.