MR. JON DAVID BESERRA II CRNA
NPI 1336605682
Nurse Anesthetist, Certified Registered in Harbor City, CA
About Mr. Jon David Beserra Ii Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JON DAVID BESERRA II CRNA (NPI 1336605682) is an individual nurse anesthetist, certified registered in Harbor City, California, licensed in California (95001053) and active in the NPI registry since February 2019. He is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mr. Jon David Beserra Ii Crna 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.
Medicare Billing Reassignments
6Medicare enrollment records show Jon Beserra reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Harbor City, CA 90710
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Downey, CA 90241
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Santa Monica, CA 90404
- Reassigned Medicare billing, California enrollment
- 57 clinicians in this Medicare group
Tarzana, CA 91356
- Reassigned Medicare billing, California enrollment
- 44 clinicians in this Medicare group
Rancho Cucamonga, CA 91730
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Redlands, CA 92374
- Reassigned Medicare billing, California enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARBOR CITY, CA 90710
HARBOR CITY, CA 90710
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 Jon Beserra's NPI number?
The NPI number for Jon Beserra is 1336605682. It was assigned to this individual provider in the NPPES registry on February 12, 2019. The provider is also known as Mr. John David Beserra Crna.
Where is Jon Beserra located?
Jon Beserra practices at 25825 Vermont Ave, Harbor City, CA 90710. The listed phone number is (310) 325-5111.
What is Jon Beserra's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jon Beserra enrolled in Medicare?
Yes. Jon Beserra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jon Beserra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jon Beserra reassigns Medicare benefits to 6 organizations: Southern California Permanente Medical Group (Harbor City, CA), Pacific Vascular Access Care, Inc (Downey, CA), Digestive Health Associates Of Southern California (Santa Monica, CA), Scq Anesthesia A Professional Nursing Corporation (Tarzana, CA), Innovative Minimally Invasive Imaging & Therapeutics, Inc (Rancho Cucamonga, CA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Beserra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jon Beserra was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mr. Jon David Beserra II, CRNA · NPI 1336605682
Nurse Anesthetist, Certified Registered physician in Harbor City, California. Individual provider, active in the CMS NPPES registry since February 12, 2019.
## Identity
- **NPI:** 1336605682 (Entity type: Individual)
- **Enumerated:** February 12, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95001053 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 25825 VERMONT AVE, Harbor City, CA 90710-3518
- **Phone:** (310) 325-5111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1598797011, Harbor City, CA); Pacific Vascular Access Care, Inc (NPI 1629846670, Downey, CA); Digestive Health Associates Of Southern California (NPI 1043098619, Santa Monica, CA); Scq Anesthesia A Professional Nursing Corporation (NPI 1689381105, Tarzana, CA); Innovative Minimally Invasive Imaging & Therapeutics, Inc (NPI 1952758849, Rancho Cucamonga, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336605682) · Data from the CMS NPPES public registry.