Individual provider Active NPI

Gary A Schenck Jr., MD

  • Anesthesiology Physician
  • Stockton, CA
National Provider Identifier
1093808818
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A53105 Issued in CA
Practice address
1801 E March LN Ste 360
Stockton, CA 95210-6675
Phone
(209) 951-1178
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A53105 CA Primary

Addresses

Primary practice location

1801 E March LN Ste 360
Stockton, CA 95210-6675

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other identifiers 1

IdentifierTypeStateIssuer
00A531050MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000344 CA Practitioner - Anesthesiology 3779476361 Reassigns benefits to 3 organizations
Practice locations: Turlock, CA; Stockton, CA; Modesto, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Anesthesia Services PCGroup PAC ID 1951818350, 8 clinicians
Core Anesthesia Provider Services PCGroup PAC ID 7719367093, 10 clinicians

Practice addresses (Care Compare)

36 W Yokuts Ave
Suite 3
Stockton, CA 95207-5713
Phone (209) 952-1189

Merit-based Incentive Payment System (MIPS)

Final score
63.03 of 100Reported as group
Quality
44.74
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Oct 7, 2023 Accepting new patients
Core Anesthesia Provider Services PC Anesthesiology CurrentSince Dec 18, 2023 Accepting new patients
Core Anesthesia Services PC Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Barry K Wilson MD Inc Anesthesiology PastSince Oct 31, 2021 Accepting new patients
Delta Radiology, Inc. Past Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

817 Coffee Rd
Ste C3
Modesto, CA 95355
Phone (209) 529-9603

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

1300 Mable Ave
#1
Modesto, CA 95355
Phone (209) 571-1633

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189

1801 Colorado Ave
Ste 140
Turlock, CA 95382
Phone (209) 216-3470

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

3850 Geer Rd
Turlock, CA 95382
Phone (209) 668-9866

119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1093808818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE 360",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106675",
            "telephone_number": "209-951-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENCK",
        "first_name": "GARY",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A53105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A531050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.