Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant David Kephart, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1043773070

Grant David Kephart, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Stockton, California. Qualified in 2018, 8 years ago. Practices with Anesthesia Services of San Joaquin PC, a 75-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

St Joseph's Medical Center 1800 N California St
Stockton, CA 95204
Phone: (209) 943-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 — (916) 733-8222

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence NA95001045 (CA)

Record details

NPI number1043773070
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Anesthesia Services Of San Joaquin Pc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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