{"npi":"1497486245","type":"NPI-2","status":"active","name":{"display":"Western Vascular A Medical Corporation","other":[],"organization_name":"WESTERN VASCULAR A MEDICAL CORPORATION","authorised_official":"Douglas Krahn"},"specialty":{"primary_taxonomy":"2086S0129X","primary_taxonomy_description":"Vascular Surgery Physician","slug":"vascular-surgery-physician","schema_org_specialty":null,"all":[{"code":"208600000X","description":"Surgery","primary":false,"state":null,"license":null},{"code":"2086S0129X","description":"Vascular Surgery Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"401 E HIGHLAND AVE STE 351","city":"SAN BERNARDINO","state":"CA","postal_code":"924043830","country_code":"US","phone":"9094758611"},{"purpose":"MAILING","street_1":"PO BOX 9086","city":"REDLANDS","state":"CA","postal_code":"923752286","country_code":"US","phone":"8339891009","fax":"8019312044"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250908001962","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"4981106093"}]},"enumeration_date":"2022-06-22","last_updated":"2025-07-28","_meta":{"source":"NPPES","snapshot_date":"2025-07-28","doc_url":"https://findmynpi.com/api"}}