Provider Demographics
NPI:1881192318
Name:MCCARTY, CHRISTOPHER O'NEAL (CRNA, DNP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:O'NEAL
Last Name:MCCARTY
Suffix:
Gender:M
Credentials:CRNA, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 LINDO PL
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-0237
Mailing Address - Country:US
Mailing Address - Phone:678-633-0697
Mailing Address - Fax:
Practice Address - Street 1:219 LINDO PL
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-0237
Practice Address - Country:US
Practice Address - Phone:678-633-0697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA153631367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered