MRS. BRITTANY LANG BONGGA NP
NPI 1902353451
Nurse Practitioner - Family in Fontana, CA

Q: What is Brittany Bongga's NPI number?

The NPI number for Brittany Bongga is 1902353451. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Q: What is Brittany Bongga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Brittany Bongga was last updated on April 25, 2022. 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.

Active since September 01, 2016PECOS Enrolled

96.5/100

CMS Quality Rating

17051 SIERRA LAKES PKWY STE 101, FONTANA, CA 92336(909) 428-2040(909) 428-2191 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2022, Sep 1, 2016 (2 updates tracked since 2016).

On this page

About Mrs. Brittany Lang Bongga Np NPPES

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

MRS. BRITTANY LANG BONGGA NP (NPI 1902353451) is an individual family provider in Fontana, California, licensed in California (95004741) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902353451

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. BRITTANY LANG BONGGACredential: NP

Location Address17051 SIERRA LAKES PKWY STE 101Fontana, CA 92336-1274

Mailing Address3400 Data Dr, Credentialing DepartmentRancho Cordova, CA 95670-7956

Phone(909) 428-2040

Fax(909) 428-2191

Sole ProprietorNo

Enumeration DateSeptember 1, 2016

Last NPPES UpdateApril 25, 20222 updates tracked since enumeration

NPPES CertifiedApril 25, 2022

✔ NPI 1902353451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95004741

17051 SIERRA LAKES PKWY STE 101, Fontana, CA 92336

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Brittany Lang Bongga Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

96.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.34

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$58.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MICHELLE YOON-JI LEE PA-C

Physician Assistant

17051 SIERRA LAKES PKWY STE 101
FONTANA, CA 92336

San Bernardino County (909) 864-4700

DIGNITY HEALTH MEDICAL FOUNDATION

Clinic/Center (Multi-Specialty)

17051 SIERRA LAKES PKWY STE 101
FONTANA, CA 92336

San Bernardino County (909) 428-2040

BHUMI B PATEL MD

Pediatrics

17051 SIERRA LAKES PKWY STE 101
FONTANA, CA 92336

San Bernardino County (909) 864-4700

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 Brittany Bongga's NPI number?

The NPI number for Brittany Bongga is 1902353451. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Brittany Bongga located?

Brittany Bongga practices at 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336. The listed phone number is (909) 428-2040.

What is Brittany Bongga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brittany Bongga enrolled in Medicare?

Yes. Brittany Bongga is registered in the Medicare PECOS enrollment system.

What insurance does Brittany Bongga accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Brittany Bongga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brittany Bongga was last updated on April 25, 2022. 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.