JOHN JAYSON LOPEZ BONGGA
NPI 1710431960
Nurse Anesthetist, Certified Registered in Colton, CA

Active since August 04, 2016Accepts Medicare Assignment
400 N PEPPER AVE, COLTON, CA 92324(909) 580-2440 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2021, Jan 18, 2017 (2 updates tracked since 2017).

About John Jayson Lopez Bongga NPPES

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

JOHN JAYSON LOPEZ BONGGA (NPI 1710431960) is an individual nurse anesthetist, certified registered in Colton, California, licensed in California (95000665) and active in the NPI registry since August 2016. He is affiliated with Northwest Specialty Hospital and is a graduate of Other (2016).

NPPES Registry Identity

NPI1710431960
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJOHN JAYSON LOPEZ BONGGA
Location Address400 N PEPPER AVEColton, CA 92324-1801
Mailing Address11755 Malaga Dr, Unit 1165Rancho Cucamonga, CA 91730-7224 · (909) 851-3067
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 4, 2016
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
NPI 1710431960 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 · 95000665
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.

400 N PEPPER AVE, Colton, CA 92324

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Jayson Lopez Bongga 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 ID4486937448
PECOS Enrollment IDI20230515001553

Areas of Expertise CMS Part B claims 8

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
40 services40 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
32 services31 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
24 services23 patients
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
23 services23 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
17 services17 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID
OwnershipProprietary
CMS Certification Number130066
Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 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 20

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

Neurological Surgery
400 N PEPPER AVE, 3RD FLOOR
COLTON, CA 92324
Nurse Practitioner (Family)
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine (Pulmonary Disease)
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine
400 N PEPPER AVE
COLTON, CA 92324
Emergency Medicine
400 N PEPPER AVE
COLTON, CA 92324

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 John Jayson Bongga's NPI number?

The NPI number for John Jayson Bongga is 1710431960. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Where is John Jayson Bongga located?

John Jayson Bongga practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-2440.

What is John Jayson Bongga's specialty?

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

Is John Jayson Bongga enrolled in Medicare?

Yes. John Jayson Bongga 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.

Is John Jayson Bongga affiliated with any hospitals?

According to CMS data, John Jayson Bongga is affiliated with Northwest Specialty Hospital.

When was this NPI record last updated?

The NPPES record for John Jayson Bongga was last updated on December 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.