JACQUELINE STARK CRNA NPI 1396742284

NPI Information

  • NPI: 1396742284
  • Provider Name: JACQUELINE STARK, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 3350 W BALL RD
    ANESTHESIA DEPARTMENT
    ANAHEIM, CA
    ZIP 92804
  • Phone: (714) 827-6700

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NPI Details

Jacqueline Stark, CRNA is a nurse anesthetist certified registered in Anaheim, CA with 31 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Jacqueline Stark, CRNA NPI is 1396742284. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3350 W BALL RD
ANESTHESIA DEPARTMENT
ANAHEIM, CA
ZIP 92804-710
Phone: (714) 827-6700

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for lens surgery (HCPCS:00142)

The enumeration date for this NPI number is 7/7/2005 and was last updated on 7/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistR148323MARYLANDNo
2367500000XNurse Anesthetist, Certified Registered3393CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BG373YMEDICARE PINCALIFORNIA
2H102892MEDICARE PINHAWAII
343BBDDCMEDICARE PINGEORGIA
4000831101MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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