Jason Skylor Ang
Community Health Worker in San Bernardino, CA. Individual provider (NPI-1).
NPI number1609752245
StatusActive
Last updated in NPPESAug 11, 2025
Details
- NPI
- 1609752245
- Entity type
- Individual (NPI-1)
- Name
- Jason Skylor Ang
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2025
- Certification date
- Aug 11, 2025
- Last updated
- Aug 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
330 N D St Ste 320San Bernardino, CA 92401-1545
Phone 909-893-2782 · Fax 909-262-1123
Mailing address
330 N D St Ste 320San Bernardino, CA 92401-1545
Phone 909-262-1123
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 301 Community Health Worker providers in San Bernardino · All 7,202 providers in San Bernardino
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