James Kim Johnson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Colton, CA

James Kim Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Colton, California. His current practice location is 400 N Pepper Ave, Anesthesia Dept., 2nd Floor, Colton, California. You can reach out to his office (for appointments etc.) via phone at (909) 580-2440.

James Kim Johnson is licensed to practice in California (license number NA3887) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508189812.

Contact Information

James Kim Johnson, CRNA
400 N Pepper Ave, Anesthesia Dept., 2nd Floor,
Colton, CA 92324-1801
(909) 580-2440
(909) 580-2441

Map and Direction




Provider's Profile

Full NameJames Kim Johnson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location400 N Pepper Ave, Colton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508189812
  • Provider Enumeration Date: 03/02/2010
  • Last Update Date: 03/02/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3375671571
  • Enrollment ID: I20100510000102

Medical Identifiers

Medical identifiers for James Kim Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508189812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered NA3887 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James Kim Johnson allows following entities to bill medicare on his behalf.
Entity NameSummit Anesthesia Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588938971
PECOS PAC ID: 0941465512
Enrollment ID: O20120705000148
Entity NameSan Bernardino Gastroenterology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265982375
PECOS PAC ID: 7214218726
Enrollment ID: O20161221000716
Entity NameSb Anesthesia Inc., A Professional Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952816787
PECOS PAC ID: 6709146392
Enrollment ID: O20180130000679
Entity NameSeven Star Hospital Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043813140
PECOS PAC ID: 4789083338
Enrollment ID: O20210601002852

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Kim Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James Kim Johnson, CRNA
Po Box 765,
Colton, CA 92324-0800

Ph: (909) 580-2440
James Kim Johnson, CRNA
400 N Pepper Ave, Anesthesia Dept., 2nd Floor,
Colton, CA 92324-1801

Ph: (909) 580-2440

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Colton, CA

Mr. Richard William Reis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 400 North Pepper Avenue 2nd Floor, Anesthesia Dept., Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324
Phone: 909-580-2440    Fax: 909-580-2441
Elizabeth Karenina Manullang,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 400 N Pepper Ave, Colton, CA 92324
Phone: 877-873-2762    
Ivan Stiger,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 400 N Pepper Ave, Colton, CA 92324
Phone: 909-580-2440    
Mr. Michael T Reid, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 900 E Washington St, Ste. 100, Colton, CA 92324
Phone: 909-370-2190    
Daniel Hioe,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 400 N Pepper Ave, Colton, CA 92324
Phone: 909-580-2440    
Mr. Dale Arthur Reile, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 400 N Pepper Ave Fl 2, Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324
Phone: 909-580-2440    Fax: 909-580-2441
Cheryl Sisler Carr, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 400 N Pepper Ave, Anesthesia Dept, 2nd Floor, Colton, CA 92324
Phone: 909-580-2440    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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