WESTERN VASCULAR A MEDICAL CORPORATION – NPI #1497486245
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

WESTERN VASCULAR A MEDICAL CORPORATION is a surgeon located in SAN BERNARDINO, CA. NPPES has assigned the NPI number 1497486245 to WESTERN VASCULAR A MEDICAL CORPORATION on June 22, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on Jul 28, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WESTERN VASCULAR A MEDICAL CORPORATION below.

NPI Profile for
WESTERN VASCULAR A MEDICAL CORPORATION

NPI Number
1497486245
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WESTERN VASCULAR A MEDICAL CORPORATION
Primary location
401 E HIGHLAND AVE STE 351
SAN BERNARDINO, CA 92404-3830
Phone: (909) 475-8611 Fax:
Mailing address
PO BOX 9086
REDLANDS, CA 92375-2286
Phone: (833) 989-1009 Fax: (801) 931-2044
Organization Subpart
Yes - WESTERN VASCULAR A MEDICAL CORPORATION is subpart of another organization.
Authorized Official
DOUGLAS KRAHN
OWNER/PROVIDER
Phone: (909) 475-8611
Updated
Certification Date
Jul 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
208600000X
- Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.