Individual provider Active NPI

Mark M Giese, CRNA

  • Certified Registered Nurse Anesthetist
  • Fontana, CA
National Provider Identifier
1821299710
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61603130 Issued in WA
Practice address
9961 Sierra Ave
Fontana, CA 92335-6720
Phone
(909) 427-3910
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA3157 CA
Certified Registered Nurse Anesthetist 367500000X AP61603130 WA Primary

Addresses

Primary practice location

9961 Sierra Ave
Fontana, CA 92335-6720

Mailing address

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-3910

Other practice location 1

600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050601000472 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163464090 Reassigns benefits to 3 organizations
I20240924001644 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163464090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as group
Quality
83.21
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP61603130WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor County Public Hospital District No 1 CurrentSince Apr 1, 2025 Accepting new patients
Sda Services of Ca CurrentSince Jul 2, 2023 Accepting new patients
Palm Springs Anesthesia Services, PC CurrentSince Jul 12, 2022 Accepting new patients
Urology Institute of the South Bay Current Accepting new patients
Skyline Urology Current Accepting new patients
Providence Health & Service- Washington CurrentSince Oct 1, 2024 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 2, 2023 Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Apr 1, 2025 Accepting new patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2024 Accepting new patients

Locations

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114

10 Congress St
Ste 410
Pasadena, CA 91105
Phone (626) 412-2838

10408 Industrial Cir
Redlands, CA 92374
Phone (909) 796-0363

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

12595 Hesperia Rd
Victorville, CA 92395
Phone (760) 881-3377

12595 Hesperia Rd
Ste 100
Victorville, CA 92395
Phone (760) 881-3377

610 E Main St
Elma, WA 98541
Phone (360) 346-2222

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1821299710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9961 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356720",
            "telephone_number": "909-427-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9961 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356720",
            "telephone_number": "909-427-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Main St",
            "address_purpose": "LOCATION",
            "city": "Elma",
            "state": "WA",
            "postal_code": "985419560",
            "country_code": "US",
            "telephone_number": "360-346-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIESE",
        "first_name": "MARK",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA3157",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61603130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.

Verify at the official NPI Registry.