Individual provider Active NPI

Jason Todd Chiriano, D.O.

  • Vascular Surgery Physician
  • Victorville, CA
National Provider Identifier
1457569519
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
20A8618 Issued in CA
Practice address
15030 7TH St
Victorville, CA 92395-3811
Phone
(609) 510-0657
Fax
(760) 951-5382
NPI assigned
May 20, 2007
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 20A8618 CA Primary

Addresses

Primary practice location

15030 7TH St
Victorville, CA 92395-3811

Mailing address

15030 7TH St
Victorville, CA 92395
Phone (760) 951-0065

Other practice location 1

2150 N Waterman Ave Ste 300
San Bernardino, CA 92404-4811
Phone (760) 951-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090916000665 CA Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Medical Oncology 3870649809 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Medical Oncology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Bariatric a Medical CorporationGroup PAC ID 3476607052, 12 clinicians
Western Vascular a Medical CorporationGroup PAC ID 4981106093, 3 clinicians

Practice addresses (Care Compare)

401 E Highland Ave
Suite 351
San Bernardino, CA 92404-3830
Phone (909) 475-8611

7365 Carnelian St
Suite 237
Rancho Cucamonga, CA 91730-1136
Phone (909) 789-1190

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jason T Chiriano MD Inc Vascular Surgery CurrentSince Jan 3, 2012 Accepting new patients
Western Bariatric, a Medical Corporation Vascular Surgery CurrentSince Aug 1, 2021 Accepting new patients
Cal Med Physicians and Surgeons, Inc. Vascular Surgery CurrentSince Feb 28, 2010 Accepting new patients
Western Vascular a Medical Corporation Vascular Surgery CurrentSince Jun 30, 2025 Accepting new patients
Joseph L Vanderlinden MD Inc CurrentSince Sep 1, 2021 Accepting new patients
Redlands Community Hospital Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
St Mary Medical Center Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

3033 W Orange Ave
Anaheim, CA 92804
Phone (714) 229-5649

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

7365 Carnelian St
Ste 237
Rancho Cucamonga, CA 91730
Phone (909) 789-1190

1766 N Riverside Ave
Ste A
Rialto, CA 92376
Phone (909) 820-7200

9041 Magnolia Ave
Ste 202
Riverside, CA 92503
Phone (951) 352-5643

401 E Highland Ave
Ste 351
Sn Bernrdno, CA 92404
Phone (909) 475-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jchiriano905286@direct.memorialcare.org

Organizations & group practices 12

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 3

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1457569519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 7TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-951-0065",
            "fax_number": "760-951-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 7TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953811",
            "telephone_number": "609-510-0657",
            "fax_number": "760-951-5382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 N Waterman Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924044811",
            "country_code": "US",
            "telephone_number": "760-951-0065",
            "fax_number": "760-951-5382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIRIANO",
        "first_name": "JASON",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "20A8618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.