Active NPI
Western Vascular a Medical Corporation
- Vascular Surgery Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- WESTERN VASCULAR A MEDICAL CORPORATION
- Practice address
- 401 E Highland Ave Ste 351
San Bernardino, CA 92404-3830 - Phone
- (909) 475-8611
- NPI assigned
- Jun 22, 2022
- Organization subpart
- Yes
- Parent organization
- WESTERN BARIATRIC, A MEDICAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Krahn, MD
- Title
- Owner/Provider
- Phone
- (909) 475-8611
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
401 E Highland Ave Ste 351
San Bernardino, CA 92404-3830
Mailing address
PO Box 9086
Redlands, CA 92375-2286
Phone (833) 989-1009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250908001962 | CA | Part B Supplier - Clinic/Group Practice | 4981106093 |
Receives reassigned benefits from 3 practitioners Practice locations: Redlands, CA; San Bernardino, CA |
National Provider Directory
National Provider Directory- Part of
- Western Bariatric a Medical Corporation
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Surgery Physician
- San Bernardino, CA
- NPI 1184821373
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Victorville, CA
- NPI 1457569519
CA, Vascular Surgery
-
- Physician Assistant
- Lynwood, CA
- NPI 1881233229
-
- Physician Assistant
- San Bernardino, CA
- NPI 1316544034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1497486245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9086",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923752286",
"telephone_number": "833-989-1009",
"fax_number": "801-931-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E HIGHLAND AVE STE 351",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924043830",
"telephone_number": "909-475-8611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN VASCULAR A MEDICAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESTERN BARIATRIC, A MEDICAL CORPORATION",
"enumeration_date": "2022-06-22",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "KRAHN",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "909-475-8611",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
- Western Bariatric, a Medical Corporation
- Western Dental Service, Inc
- Western Dental Services, Inc.
- Western Pacific Psychological Network, Inc.
- Western States Healthcare Services, Inc
- Amanda Beth Whaling
- Myriam Whall, ASW
- Sarah Lynn Wheeler-Torres, M.S., BCBA
- Emma Josephine Wheeler
- Rossilyn Wheeler, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.