Individual provider Active NPI

Christian Israel Garaycochea, MD

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1104942887
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13797 Issued in NV
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

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A902230OtherCABLUE SHIELD OF CALIFORNIA
00A902230MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 0840194643, 45 clinicians
Alpine Anesthesia LLCGroup PAC ID 0749501294, 12 clinicians

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 Hospital, West Jordan, UT, CCN 460051

Merit-based Incentive Payment System (MIPS)

Final score
89.7 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Optum Medical Group II Rhodes P C CurrentSince Mar 1, 2016 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 1, 2020 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 1, 2020 Accepting new patients
Millcreek Anesthesia PC Anesthesiology CurrentSince Feb 17, 2025 Accepting new patients
Optum Medical Group Rhodes P C Anesthesiology Current Accepting new patients
Office Anesthesia Consultants LLC Anesthesiology CurrentSince Apr 24, 2017 Accepting new patients
Mountain West Anesthesia LLC Anesthesiology PastSince Jan 1, 1998 Accepting new patients
William Azzoli MD Anesthesiology PastSince Sep 1, 2019 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.