MR. JOHN J DEVERE PA-C
NPI 1811921380
Physician Assistant - Medical in Pomona, CA

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
160 E ARTESIA ST, SUITE # 220, POMONA, CA 91767(909) 865-1020(909) 865-1202 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. John J Devere Pa-c NPPES

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

MR. JOHN J DEVERE PA-C (NPI 1811921380) is an individual medical provider in Pomona, California, licensed in California (PA16676) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1811921380
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOHN J DEVERECredential: PA-C
Location Address160 E ARTESIA ST, SUITE # 220Pomona, CA 91767-2900
Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1573
Fax(909) 865-1202
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 10, 2006
Last NPPES UpdateNovember 22, 2021
NPI 1811921380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA16676
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA16676 (CA)
160 E ARTESIA ST, Pomona, CA 91767

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

Mr. John J Devere Pa-c 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 ID9335108174
PECOS Enrollment IDI20041006001490
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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
160 E ARTESIA ST, SUITE 220
POMONA, CA 91767
Dentist (General Practice)
160 E ARTESIA ST, SUITE 125
POMONA, CA 91767
Internal Medicine (Gastroenterology)
160 E ARTESIA ST, SUITE 140
POMONA, CA 91767
Dentist (General Practice)
160 E ARTESIA ST, SUITE 125
POMONA, CA 91767
Thoracic Surgery (Cardiothoracic Vascular Surgery)
160 E ARTESIA ST, SUITE 355
POMONA, CA 91767
Surgery
160 E ARTESIA ST, SUITE 355
POMONA, CA 91767
Internal Medicine
160 E ARTESIA ST, SUITE 310
POMONA, CA 91767
Neurological Surgery
160 E ARTESIA ST, SUITE 220
POMONA, CA 91767

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 Devere's NPI number?

The NPI number for John Devere is 1811921380. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is John Devere located?

John Devere practices at 160 E Artesia St Suite # 220, Pomona, CA 91767. The listed phone number is (909) 865-1020.

What is John Devere's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is John Devere enrolled in Medicare?

Yes. John Devere 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.

When was this NPI record last updated?

The NPPES record for John Devere was last updated on November 22, 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.