Active NPI
Christian Israel Garaycochea, MD
- Anesthesiology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 13797
- Practice address
- 322 Karen Ave
Unit 1207
Las Vegas, NV 89109-0412 - Phone
- (801) 368-0468
- Fax
- (801) 880-3841
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A90223 | CA | |
| Anesthesiology Physician | 207L00000X | A90223 | CA | |
| Anesthesiology Physician | 207L00000X | 13797 | NV | Primary |
Addresses
Primary practice location
322 Karen Ave
Unit 1207
Las Vegas, NV 89109-0412
Mailing address
3153 E Warm Springs Rd #300
Las Vegas, NV 89120
Phone (702) 487-6510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A902230 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 00A902230 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NV, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080530000489 | UT | Practitioner - Anesthesiology | 7810916996 | Reassigns benefits to 2 organizations |
| I20140905000002 | NV | Practitioner - Anesthesiology | 7810916996 | Reassigns benefits to 3 organizations |
| I20190222000403 | AZ | Practitioner - Anesthesiology | 7810916996 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Oregon Health Sciences University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Millcreek Anesthesia PCAlpine Anesthesia LLC
Practice addresses (Care Compare)
11925 S State St
Draper, UT 84020-7735
Phone (801) 545-8000
1919 Florence Ave
Suite 5
Kingman, AZ 86401-4684
Phone (928) 753-2106
3000 N Triumph Blvd
Lehi, UT 84043-7186
Phone (385) 345-3000
Hospital & facility affiliations
- Holy Cross Hospital-Jordan Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.7 of 100
- Quality
- 82.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Millcreek Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Optum Medical Group Rhodes P C | Anesthesiology | Current | Accepting new patients |
| Office Anesthesia Consultants LLC | Anesthesiology | Current | Accepting new patients |
| Mountain West Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
| William Azzoli MD | Anesthesiology | Past | Accepting new patients |
Locations
58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
3153 E Warm Springs Rd
Ste 300
Las Vegas, NV 89120
Phone (702) 478-7651
6402 McLeod Dr
Ste 2
Las Vegas, NV 89120
Phone (702) 325-1711
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
11925 S State St
Draper, UT 84020
Phone (801) 545-8000
1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Salt Lake City, UT
- NPI 1306879820
Anesthesiology, UT
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1306371166
Anesthesiology, NV
-
- Radiation Oncology Physician
- Las Vegas, NV
- NPI 1225609464
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1104942887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3153 E WARM SPRINGS RD #300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89120",
"telephone_number": "702-487-6510",
"fax_number": "702-405-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 KAREN AVE",
"address_2": "UNIT 1207",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891090412",
"telephone_number": "801-368-0468",
"fax_number": "801-880-3841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARAYCOCHEA",
"first_name": "CHRISTIAN",
"middle_name": "ISRAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A90223",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A90223",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NV",
"license": "13797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "00A902230",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A902230",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.