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BENER JOSEPH DEOMPOC JR.
NPI 1073384194
Nurse Anesthetist, Certified Registered in Loma Linda, CA

Active since January 09, 2024
11234 ANDERSON ST STE A504, LOMA LINDA, CA 92350(909) 558-7811 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bener Joseph Deompoc Jr. NPPES

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

BENER JOSEPH DEOMPOC JR. (NPI 1073384194) is an individual nurse anesthetist, certified registered in Loma Linda, California, licensed in California (95002834) and active in the NPI registry since January 2024. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1073384194
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBENER JOSEPH DEOMPOC JR.
Location Address11234 ANDERSON ST STE A504Loma Linda, CA 92350-1716
Mailing Address11234 Anderson St Ste A504Loma Linda, CA 92350-1716
Phone(909) 558-7811
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 9, 2024
Last NPPES UpdateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1073384194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95002834
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
11234 ANDERSON ST STE A504, Loma Linda, CA 92350
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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)

Bener Joseph Deompoc Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840761011
PECOS Enrollment IDI20260609000605

Other Providers at the Same Location NPPES 4

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

JASON JOHN FRY CRNA, DNP
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST STE A504
LOMA LINDA, CA 92350
San Bernardino County (909) 558-7811
VALERIE CRYSTAL REYES
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST STE A504
LOMA LINDA, CA 92350
San Bernardino County (909) 558-7811
IVY SHEK CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST STE A504
LOMA LINDA, CA 92350
San Bernardino County (917) 331-1688
MRS. EMMA KEIKO LYNNE CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST STE A504
LOMA LINDA, CA 92350
San Bernardino County (909) 558-7811

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 Bener Joseph Deompoc's NPI number?

The NPI number for Bener Joseph Deompoc is 1073384194. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Bener Joseph Deompoc located?

Bener Joseph Deompoc practices at 11234 Anderson St Ste A504, Loma Linda, CA 92350. The listed phone number is (909) 558-7811.

What is Bener Joseph Deompoc's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Bener Joseph Deompoc enrolled in Medicare?

Yes. Bener Joseph Deompoc is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bener Joseph Deompoc was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.