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

Individual provider Specialist · NPI 1396742284

Jacqueline Stark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Anaheim, California. Qualified in 1995, 31 years ago. Practices with Allied Anesthesia Medical Group Inc, a 184-clinician group and accepts Medicare assignment. Licensed in California and Maryland.

Years since qualifying
31
Licensed in
CA, MD
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3350 W Ball Rd Anesthesia Dept
Anaheim, CA 92804-3710
Phone: (714) 827-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3393 (CA)
Specialist Taxonomy 174400000X · Licence R148323 (MD)

Record details

NPI number1396742284
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESJuly 15, 2010

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Allied Anesthesia Medical Group Inc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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