PA C XIONG SRNA
NPI 1760622179
Licensed Practical Nurse in Ontario, CA

Active since February 24, 2009Accepts Medicare Assignment
2780 E BIG RANGE RD, ONTARIO, CA 91761(909) 659-7831 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pa C Xiong Srna NPPES

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

PA C XIONG SRNA (NPI 1760622179) is an individual licensed practical nurse in Ontario, California, licensed in California (535902) and active in the NPI registry since February 2009. She is a graduate of Other (2009).

NPPES Registry Identity

NPI1760622179
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePA C XIONGCredential: SRNA
Location Address2780 E BIG RANGE RDOntario, CA 91761-9100
Mailing Address2780 E Big Range RdOntario, CA 91761-9100 · (909) 659-7831
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 24, 2009
Last NPPES UpdateDecember 3, 2021
✔ NPI 1760622179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CA · 535902
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2780 E BIG RANGE RD, Ontario, CA 91761

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

Pa C Xiong Srna 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 ID8820125545
PECOS Enrollment IDI20100428000538

Medicare Billing Reassignments

2

Medicare enrollment records show Pa Xiong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4936 SNOWBERRY DR
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 55 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.

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 Pa Xiong's NPI number?

The NPI number for Pa Xiong is 1760622179. It was assigned to this individual provider in the NPPES registry on February 24, 2009.

Where is Pa Xiong located?

Pa Xiong practices at 2780 E Big Range Rd, Ontario, CA 91761. The listed phone number is (909) 659-7831.

What is Pa Xiong's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Is Pa Xiong enrolled in Medicare?

Yes. Pa Xiong 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 Pa Xiong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pa Xiong reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Chino Hills, CA) and Jp Anesthesia Inc (Fontana, CA). 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 Pa Xiong'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 Pa Xiong was last updated on December 3, 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.