NPIMap

Individual provider Active NPI

Jedediah Dixon, MD

  • Vascular & Interventional Radiology Physician
  • Loma Linda, CA
National Provider Identifier
1619165842
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A109534 Issued in CA
Practice address
Dept Veterans Affairs 11201 Benton Street
Loma Linda, CA 92357-1000
Phone
(909) 825-7084
NPI assigned
Oct 12, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57-013185 OH
Vascular & Interventional Radiology Physician 2085R0204X A109534 CA Primary

Addresses

Primary practice location

Dept Veterans Affairs 11201 Benton Street
Loma Linda, CA 92357-1000

Mailing address

5753 E Santa Ana Canyon Rd Ste G
Box 457
Anaheim, CA 92807-3296
Phone (714) 392-0556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, NV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140109000470 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4789812140 Reassigns benefits to 4 organizations
I20210525002355 HI Practitioner - Diagnostic Radiology 4789812140 Reassigns benefits to 1 organization
I20220405002316 NV Practitioner - Interventional Radiology 4789812140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Medical Group of WMMCGroup PAC ID 0244247864, 29 clinicians
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians
Las Vegas Vascular and Interventional Specialists, LLCGroup PAC ID 1557651478, 14 clinicians

Practice addresses (Care Compare)

11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone (818) 869-7201

2396 Calvert St
Corona, CA 92881-6634
Phone (469) 757-1042

8930 W Sunset Rd
Suite 350
Las Vegas, NV 89148-5042
Phone (702) 389-5360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.64 of 100Reported as group
Quality
100
Improvement activities
40
Cost
58.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57-013185OHMDInternal Medicine Physician
A109534CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Jul 20, 2025 Accepting new patients
Willits Hospital Inc. CurrentSince Jan 19, 2019 Accepting new patients
Las Vegas Vascular & Interventional Specialists, LLC Vascular & Interventional Radiology CurrentSince Feb 1, 2021 Accepting new patients
Ukiah Adventist Hospital CurrentSince Jan 19, 2019 Accepting new patients
Radiology Medical Group of WMMC Diagnostic Radiology CurrentSince Sep 21, 2013 Accepting new patients
Jupiter Imaging Associates Inc Diagnostic Radiology PastSince Sep 17, 2019 Accepting new patients

Locations

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

531 W College St
Los Angeles, CA 90012
Phone (213) 268-5000

11333 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 365-9531

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

75 Puuhonu Pl
Ste 101
Hilo, HI 96720
Phone (702) 703-4340

2250 E Flamingo Rd
#100
Las Vegas, NV 89119
Phone (702) 369-6784

8930 W Sunset Rd
Ste 350
Las Vegas, NV 89148
Phone (702) 389-5360

9260 W Sunset Rd
Ste 201
Las Vegas, NV 89148
Phone (702) 389-5360

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 7

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619165842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5753 E SANTA ANA CANYON RD STE G",
            "address_2": "BOX 457",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073296",
            "telephone_number": "714-392-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT VETERANS AFFAIRS 11201 BENTON STREET",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571000",
            "telephone_number": "909-825-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JEDEDIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57-013185",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A109534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.