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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

Active since June 30, 2020PECOS Enrolled
168 N BRENT ST STE 506, VENTURA, CA 93003(805) 485-8722(805) 485-9311 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2026, Jul 31, 2026, Jul 23, 2026 and 1 more (4 updates tracked since 2020).

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 California (A184116) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Colorado School Of Medicine, Aurora (2020).

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 · Fax (805) 485-9311
Phone(805) 485-8722
Fax(805) 485-9311
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2020
Enumeration DateJune 30, 2020
Last NPPES UpdateSeptember 14, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 14, 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 CA · A184116✔ Licensed in VA · 0101284937
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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12486 N Ponderosa Dr Ste D205Camarillo, CA 93010-2471 · Phone (805) 988-7196 · Fax (805) 988-7197
Location 21700 N Rose Ave Ste 430Oxnard, CA 93030-7657 · Phone (805) 485-8722 · Fax (805) 485-9311

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5799274569
PECOS Enrollment IDI20260810003373
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.

Medicare Billing Reassignment

Medicare enrollment records show Jaclyn Derieux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Central Coast Health Centers
Same address
Community Health
168 N BRENT ST STE 506
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 263 clinicians in this Medicare group
NPI 1285516260 (805) 653-6580

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 485-8722.

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.

Which organization bills Medicare for Jaclyn Derieux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Derieux reassigns Medicare benefits to Pacific Central Coast Health Centers (Ventura, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Derieux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaclyn Derieux was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 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.