John Anthony Vigilante IV, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101248164 Issued in VA

Practice address

1145 Sturgis Road
Twentynine Palms, CA 92278

Phone

(760) 830-2190

NPI assigned

Jun 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Loyola University of Chicago, Stritch School of Medicine, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians

St. Helena HospitalGroup PAC ID 8729059878, 85 clinicians

Hanford Community HospitalGroup PAC ID 7416868377, 60 clinicians

Adventist Health DelanoGroup PAC ID 1254248016, 47 clinicians

Glendale Adventist Medical CenterGroup PAC ID 4284692096, 99 clinicians

Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Adventist Health Clearlake Hospital Inc.Group PAC ID 3072421197, 84 clinicians

Advanced Radiology and Interventional Associates IncGroup PAC ID 2163816448, 99 clinicians

San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians

Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians

Simi Valley Hospital and Health Care ServicesGroup PAC ID 3173423399, 23 clinicians

Arcadia Radiology Medical Group a Professional CorporationGroup PAC ID 9537134184, 22 clinicians

Reedley Community HospitalGroup PAC ID 0941460984, 60 clinicians

Los Alamitos Radiology Group IncGroup PAC ID 5092718882, 69 clinicians

Adventist Health Mendocino CoastGroup PAC ID 3678990769, 57 clinicians

Mother Lode Diagnostic Imaging IncGroup PAC ID 9739176892, 16 clinicians

Adventist Health TulareGroup PAC ID 4385988757, 40 clinicians

Radiology Medical Group of WMMCGroup PAC ID 0244247864, 29 clinicians

Seven Star Hospital Associates IncGroup PAC ID 4789083338, 129 clinicians

Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
• Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
• Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013
• Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
• St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 61)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
• FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
• Direct secure messaging: jvigilante1358551@direct.uclahealth.org
• Direct secure messaging: jvigilante265622@cityofhope.direct-ci.com

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

• Advanced Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Stockton, CA
  • NPI 1669123626
  Medicare reassignment Care Compare group NPD
• Adventist Health Clearlake Hospital Inc.

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  Medicare reassignment Care Compare group NPD
• Adventist Health Delano

  • Registered Dietitian
  • Delano, CA
  • NPI 1578798047
  Medicare reassignment Care Compare group NPD
• Adventist Health Mendocino Coast

  • Critical Access Hospital
  • Fort Bragg, CA
  • NPI 1538113725
  Medicare reassignment Care Compare group NPD
• Adventist Health Tulare

  • General Acute Care Hospital
  • Tulare, CA
  • NPI 1801366711
  Medicare reassignment Care Compare group NPD
• Arcadia Radiology Medical Group a Professional Corporation

  • Diagnostic Radiology Physician
  • Arcadia, CA
  • NPI 1841228764
  Medicare reassignment Care Compare group NPD
• Glendale Adventist Medical Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Medicare reassignment Care Compare group NPD
• Hanford Community Hospital

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  Medicare reassignment Care Compare group NPD
• Los Alamitos Radiology Group Inc

  • Diagnostic Radiology Physician
  • Los Alamitos, CA
  • NPI 1427005024
  Medicare reassignment Care Compare group NPD
• Mother Lode Diagnostic Imaging Inc

  • Diagnostic Radiology Physician
  • Jackson, CA
  • NPI 1053456061
  Medicare reassignment Care Compare group NPD
• Radiology Medical Group of WMMC

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1831123868
  Medicare reassignment Care Compare group NPD
• Reedley Community Hospital

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Medicare reassignment Care Compare group NPD

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

• Glendale Adventist Medical Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Port City Operating Company, LLC

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1528190931
  Care Compare affiliation
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  Care Compare affiliation
• St. Helena Hospital

  • General Acute Care Hospital
  • Saint Helena, CA
  • NPI 1720078082
  Care Compare affiliation
• Ukiah Adventist Hospital

  • General Acute Care Hospital
  • Ukiah, CA
  • NPI 1235120676
  Care Compare affiliation

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1295962744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 STURGIS ROAD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 STURGIS ROAD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92278",
            "telephone_number": "760-830-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGILANTE",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101248164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Van Nielen, DPT
• Michael D Vanmanen, DO
• George Ramirez Velasquez, INDEPENDENT DUTY HM
• Mariela Celeste Ventocilla
• Margaret P Ventris, PTA
• Sungchun Steven Wee, D.D.S.
• Therese Marie Weseman, REGISTERED NURSE
• Tammy Lynn Weston
• Jordan Michael Wilkins
• Amanda Nicole Williams

• Diagnostic Radiology Physician in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.