Active NPI
Mark M Giese, CRNA
- Certified Registered Nurse Anesthetist
- Fontana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61603130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, WA
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.73 of 100
- Quality
- 83.21
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61603130 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor County Public Hospital District No 1 | Current | Accepting new patients | |
| Sda Services of Ca | Current | Accepting new patients | |
| Palm Springs Anesthesia Services, PC | Current | Accepting new patients | |
| Urology Institute of the South Bay | Current | Accepting new patients | |
| Skyline Urology | Current | Accepting new patients | |
| Providence Health & Service- Washington | Current | Accepting new patients | |
| Sweet Dreams Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grays Harbor County Public Hospital District No 1 | Current | Accepting new patients | |
| Genesis Healthcare Partners PC | Current | 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.
-
- Anesthesiology Physician
- San Bernardino, CA
- NPI 1083928501
-
- Anesthesiology Physician
- Crescent City, CA
- NPI 1417428970
-
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
-
- Anesthesiology Physician
- Spokane, WA
- NPI 1508118555
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1508133497
CA, Nurse Anesthetist, Certified Registered
-
- Specialist
- Encinitas, CA
- NPI 1548567498
-
- Specialist
- Torrance, CA
- NPI 1730136573
-
- Urology Physician
- Torrance, CA
- NPI 1801804760
-
- Rural Health Clinic/Center
- Elma, WA
- NPI 1083202907
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.