NPIMap

Organization Active NPI

JP Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Fontana, CA
National Provider Identifier
1609590926
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
JP ANESTHESIA INC
Practice address
4936 Snowberry Dr
Fontana, CA 92336-0763
Phone
(909) 962-9440
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Johana Leandra PerezNPI 1083091847
Title
Owner
Phone
(909) 962-9440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

4936 Snowberry Dr
Fontana, CA 92336-0763

Mailing address

4936 Snowberry Dr
Fontana, CA 92336-0763
Phone (909) 962-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221207001703 CA Part B Supplier - Clinic/Group Practice 1759750193 Receives reassigned benefits from 46 practitioners
Practice locations: Covina, CA; San Bernardino, CA; Redlands, CA; Rancho Cucamonga, CA; Corona, CA; Colton, CA; Chino Hills, CA

National Provider Directory

National Provider Directory

Locations

300 W Badillo St
Covina, CA 91723
Phone (626) 332-1388

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776470400000",
    "number": "1609590926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 SNOWBERRY DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360763",
            "telephone_number": "909-962-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 SNOWBERRY DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360763",
            "telephone_number": "909-962-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOHANA",
        "authorized_official_middle_name": "LEANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-962-9440"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.