Jason Skylor Ang

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

330 N D St Ste 320
San Bernardino, CA 92401-1545

Phone

(909) 893-2782

Fax

(909) 262-1123

NPI assigned

Aug 11, 2025

Sex

Male

Sole proprietor

No

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.

• 2020 Vision Youth

  • Health & Wellness Coach
  • La Mirada, CA
  • NPI 1750147120

  Community Health Worker

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2025.

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1609752245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N D ST STE 320",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011545",
            "telephone_number": "909-262-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N D ST STE 320",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011545",
            "telephone_number": "909-893-2782",
            "fax_number": "909-262-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANG",
        "first_name": "JASON",
        "middle_name": "SKYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick B Andonov, PHD
• Audrey Andrade
• Josephina C Andrade
• Laura Andrews, NURSE PRACTIONER
• Mary E Andrews
• Ashley Lacy Anganu
• Maria Angel-Esparza
• Angel'S Whisper Hospice Care, LLC.
• Vieny Anggita, PT
• Arturo Anguiano

• All providers in San Bernardino, CA
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.