John Jayson Lopez Bongga, in Colton, CA - Medicare Certified Registered Nurse Anesthetist (crna)

John Jayson Lopez Bongga, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Colton, California. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice River City Anesthesia Associates Pllc and his current practice location is 400 N Pepper Ave, Colton, California. You can reach out to his office (for appointments etc.) via phone at (909) 580-2440.

John Jayson Lopez Bongga is licensed to practice in California (license number 95000665) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710431960.

Contact Information

	John Jayson Lopez Bongga,
	400 N Pepper Ave, Colton, CA 92324-1801
	(909) 580-2440
	Not Available

Map and Direction

Provider's Profile

Full Name	John Jayson Lopez Bongga
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Jayson Lopez Bongga graduated from nursing school in 2016

NPI Data:

NPI Number: 1710431960
Provider Enumeration Date: 08/04/2016
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 4486937448
Enrollment ID: I20230515001553

Medical Identifiers

Medical identifiers for John Jayson Lopez Bongga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710431960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95000665 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Specialty Hospital	Post falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
River City Anesthesia Associates Pllc	4385534445	17

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. John Jayson Lopez Bongga allows following entities to bill medicare on his behalf.

Entity Name	River City Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114908993 PECOS PAC ID: 4385534445 Enrollment ID: O20040319001270

Entity Name	Anesthesia Associates Of Coeur D Alene Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962440966 PECOS PAC ID: 2365427838 Enrollment ID: O20040621000475

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. John Jayson Lopez Bongga 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 Address	Practice Location Address
John Jayson Lopez Bongga, 11755 Malaga Dr, Unit 1165, Rancho Cucamonga, CA 91730-7224 Ph: (909) 851-3067	John Jayson Lopez Bongga, 400 N Pepper Ave, 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: Not Enrolled in Medicare 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: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Michael T Reid, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 900 E Washington St, Ste. 100, Colton, CA 92324 Phone: 909-370-2190
Luis Merida, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
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: Not Enrolled in Medicare 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

John Jayson Lopez Bongga, - Medicare Certified Registered Nurse Anesthetist (crna) in Colton, CA