Active NPI
Gary Stock, CRNA
- Certified Registered Nurse Anesthetist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 617189 RN
- Practice address
- 4150 V Street, PSSB Suite 1200
Ucdmc Dept. of Anesthesiology & Pain Medicine
Sacramento, CA 95817-1460 - Phone
- (916) 734-5042
- Fax
- (916) 734-2975
- NPI assigned
- Feb 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 617189 RN | CA | Primary |
Addresses
Primary practice location
4150 V Street, PSSB Suite 1200
Ucdmc Dept. of Anesthesiology & Pain Medicine
Sacramento, CA 95817-1460
Mailing address
4150 V Street, PSSB Suite 1200
Ucdmc Dept. of Anesthesiology & Pain Medicine
Sacramento, CA 95817-1460
Phone (916) 734-5042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 617189 | Other | CA | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
4868 X St
Sacramento, CA 95817-2205
Hospital & facility affiliations
- University of California Davis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 617189 RN | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
2315 Stockton Blvd
Ste 1200
Sacramento, CA 95817
Phone (916) 734-5394
2315 Stockton Blvd
#5
Sacramento, CA 95817
Phone (916) 703-3050
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Certified Registered Nurse Anesthetist
- Sacramento, CA
- NPI 1235122342
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1043458698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 V STREET, PSSB SUITE 1200",
"address_2": "UCDMC DEPT. OF ANESTHESIOLOGY & PAIN MEDICINE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-5042",
"fax_number": "916-734-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 V STREET, PSSB SUITE 1200",
"address_2": "UCDMC DEPT. OF ANESTHESIOLOGY & PAIN MEDICINE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-5042",
"fax_number": "916-734-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "GARY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "617189 RN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "617189",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.