Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Anthony Vigilante IV, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295962744

Dr. John Anthony Vigilante IV, MD is a Diagnostic Radiology in Twentynine Palms, California. Graduated from Florida International Univ, College of Medicine in 2020, 6 years ago. Practices with Willits Hospital Inc, a 67-clinician group. Licensed in Virginia.

Years since qualifying
6
Trained at
Florida International Univ, College of Medicine
Licensed in
VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1145 Sturgis Rd
Twentynine Palms, CA 92278
Phone: (760) 830-2190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101248164 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295962744
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2009
Last updated in NPPESJune 17, 2022
Certification dateJune 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolFLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Willits Hospital Inc — 67 clinicians
Accepts Medicare assignment Not indicated
Practice locations29 on file with Medicare

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