Grant David Kephart, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Stockton, CA

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Grant David Kephart, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Stockton, California. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Services Of San Joaquin Pc and his current practice location is St. Joseph's Medical Center, 1800 N. California St., Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 943-2000.

Grant David Kephart is licensed to practice in California (license number NA95001045) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043773070.

Contact Information

Grant David Kephart, CRNA
St. Joseph's Medical Center, 1800 N. California St.,
Stockton, CA 95204
(209) 943-2000
Not Available

Map and Direction




Provider's Profile

Full NameGrant David Kephart
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
LocationSt. Joseph's Medical Center, Stockton, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Grant David Kephart graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1043773070
  • Provider Enumeration Date: 04/08/2019
  • Last Update Date: 06/23/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3779816780
  • Enrollment ID: I20190606001342

Medical Identifiers

Medical identifiers for Grant David Kephart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043773070NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered NA95001045 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's Medical Center Of StocktonStockton, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Services Of San Joaquin Pc408275405675

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Grant David Kephart allows following entities to bill medicare on his behalf.
Entity NameRegents of the Univ of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1457593980
PECOS PAC ID: 9830094515
Enrollment ID: O20090916000833
Entity NameAnesthesia Services of San Joaquin PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366778227
PECOS PAC ID: 4082754056
Enrollment ID: O20091223000174
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1972877264
PECOS PAC ID: 9830094515
Enrollment ID: O20130222000306
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1467825844
PECOS PAC ID: 9830094515
Enrollment ID: O20160223001845
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1346615150
PECOS PAC ID: 9830094515
Enrollment ID: O20160311000780

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grant David Kephart is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grant David Kephart, CRNA
1148 8th Ave,
Sacramento, CA 95818-4003

Ph: (530) 864-8882		Grant David Kephart, CRNA
St. Joseph's Medical Center, 1800 N. California St.,
Stockton, CA 95204

Ph: (209) 943-2000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Stockton, CA

Dr. Dorothy Wanjeru Mbondo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1800 N California St, Stockton, CA 95204
Phone: 209-662-4749    
Mr. Aumnard Saiseubyat, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2823 Fresno St., Stockton, CA 93721
Phone: 559-459-3965    Fax: 559-498-8182
Khang Do,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1800 N California St, Stockton, CA 95204
Phone: 209-416-6316    
Andrew William La Brucherie, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1800 N California St, Stockton, CA 95204
Phone: 209-943-2000    
Marjorie M Danis, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1805 N California St, Suite 101a, Stockton, CA 95204
Phone: 209-948-5515    Fax: 209-948-9321
Mr. Akira Toyama, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1805 N California St, Suite 101a, Stockton, CA 95204
Phone: 209-948-5515    Fax: 209-948-9321
Charles Melvin Banks Iii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1800 N California St, Stockton, CA 95204
Phone: 209-943-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.