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

Q: 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.

Q: What is Bener Joseph Deompoc's specialty?

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

Active since January 09, 2024Accepts Medicare Assignment

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: November 01, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bener Joseph Deompoc Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840761011

PECOS Enrollment IDI20260609000605

Medicare Billing Reassignment

Medicare enrollment records show Bener Joseph Deompoc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm

Same address

Pediatrics

11234 ANDERSON ST
Loma Linda, CA 92350

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1477503407 (909) 558-4000

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 92350 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 5

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

JASON JOHN FRY CRNA, DNP