Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACLYN DERIEUX M.D.
NPI 1548887102
Surgery in Ventura, CA

Q: What is Jaclyn Derieux's NPI number?

The NPI number for Jaclyn Derieux is 1548887102. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Q: What is Jaclyn Derieux's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Derieux was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2020PECOS Enrolled

168 N BRENT ST STE 506, VENTURA, CA 93003(805) 653-6580(805) 653-6687 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2026, Jul 23, 2026, Jun 30, 2020 (3 updates tracked since 2020).

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About Jaclyn Derieux M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN DERIEUX M.D. (NPI 1548887102) is an individual surgery provider in Ventura, California, licensed in Virginia (0101284937) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548887102

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameJACLYN DERIEUXCredential: M.D.

Location Address168 N BRENT ST STE 506Ventura, CA 93003-2840

Mailing Address168 N Brent St Ste 506Ventura, CA 93003-2840 · (805) 485-8722

Phone(805) 653-6580

Fax(805) 653-6687

Sole ProprietorNo

Enumeration DateJune 30, 2020

Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1548887102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in VA · 0101284937✔ Licensed in CA · A184116

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

168 N BRENT ST STE 506, Ventura, CA 93003

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Derieux M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$77.11 typical visit price

range $20.68 – $151.85

Typical copayment $19.27 (range $5.17 – $37.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC CENTRAL COAST HEALTH CENTERS

Clinic/Center (Community Health)

168 N BRENT ST STE 506
VENTURA, CA 93003

Ventura County (805) 653-6580

DR. TERRY L. COLE

Specialist

168 N BRENT ST STE 506
VENTURA, CA 93003

Ventura County (805) 648-3204

QUENBY THRINE DE LA ROCHA PA

Physician Assistant

168 N BRENT ST STE 506
VENTURA, CA 93003

Ventura County (805) 652-6373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Derieux's NPI number?

The NPI number for Jaclyn Derieux is 1548887102. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Where is Jaclyn Derieux located?

Jaclyn Derieux practices at 168 N Brent St Ste 506, Ventura, CA 93003. The listed phone number is (805) 653-6580.

What is Jaclyn Derieux's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jaclyn Derieux enrolled in Medicare?

Yes. Jaclyn Derieux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaclyn Derieux was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.