Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jerald Johnson II

Individual provider Registered Nurse · NPI 1679144562

Mr. Jerald Johnson II is a Certified Registered Nurse Anesthetist (CRNA) in Fresno, California. Qualified in 2021, 5 years ago. Practices with Darin Rentz DO PC, a 134-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

20 E River Park Pl W
Fresno, CA 93720-1551
Phone: (555) 555-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001755 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 767118 (CA)

Record details

NPI number1679144562
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2021
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022
Mailing address20 E River Park Pl W, Fresno, CA 93720-1551

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Darin Rentz Do Pc — 134 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fresno