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SHALE IMESON M.D.
NPI 1962431759
Anesthesiology in Stockton, CA

Active since July 02, 2006PECOS Enrolled
2626 N CALIFORNIA ST, SUITE G, STOCKTON, CA 95204(209) 464-9846(209) 464-4082 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shale Imeson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHALE IMESON M.D. (NPI 1962431759) is an individual anesthesiology provider in Stockton, California, licensed in California (G62662) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962431759
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameSHALE IMESONCredential: M.D.
Location Address2626 N CALIFORNIA ST, SUITE GStockton, CA 95204-5500
Mailing Address2626 N California St, Suite GStockton, CA 95204-5500 · (209) 464-9846 · Fax (209) 464-4082
Phone(209) 464-9846
Fax(209) 464-4082
Sole ProprietorNo
Enumeration DateJuly 2, 2006
Last NPPES UpdateOctober 9, 2007
✔ NPI 1962431759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · G62662
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License G62662 (CA)
2626 N CALIFORNIA ST, Stockton, CA 95204
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Other Identifiers 2

Medicare UPINE25215CA
Medicaid00G626620CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shale Imeson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Shale Imeson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - Anesthesia PC
1.2 mi
Anesthesiology
525 W ACACIA ST
Stockton, CA 95203
  • Reassigned Medicare billing, California enrollment
  • 833 clinicians in this Medicare group
NPI 1619537073 (209) 944-5550
Sutter Valley Medical Foundation
28 mi
Multi-Specialty
600 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1669846986 (209) 524-1211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
39 services39 patients
Anesthesia for other procedure on top of arm bone and shoulder joint 01630
Anesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.
21 services21 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
17 services17 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
14 services14 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEHERJI OSHTORY MD & ABHA OSHTORY MD A PROFESSIONAL CORP
Psychiatry & Neurology (Neurology)
2626 N CALIFORNIA ST, SUITE I
STOCKTON, CA 95204
San Joaquin County (209) 944-5730
DR. GRACIELA ABERION BARZAGA M.D.
Physical Medicine & Rehabilitation
2626 N CALIFORNIA ST, SUITE C
STOCKTON, CA 95204
San Joaquin County (209) 465-7463
ROBERT STUMP M.D.
Anesthesiology
2626 N CALIFORNIA ST, SUITE G
STOCKTON, CA 95204
San Joaquin County (209) 464-9846
DR. AJITHKUMAR A PUTHILLATH MD
Specialist
2626 N CALIFORNIA ST, SUITE B
STOCKTON, CA 95204
San Joaquin County (209) 466-2626
MS. CANDICE MELTON MFT
Marriage & Family Therapist
2626 N CALIFORNIA ST, SUITE 23
STOCKTON, CA 95204
San Joaquin County (209) 938-0831
KURT JOHNSON M.D.
Anesthesiology
2626 N CALIFORNIA ST, SUITE G
STOCKTON, CA 95204
San Joaquin County (209) 464-9846
TODD PRIMACK D.O.
Anesthesiology
2626 N CALIFORNIA ST, SUITE G
STOCKTON, CA 95204
San Joaquin County (209) 464-9846
ALEKSANDR BEKHTEL D.O.
Anesthesiology
2626 N CALIFORNIA ST, SUITE G
STOCKTON, CA 95204
San Joaquin County (209) 464-9846

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shale Imeson's NPI number?

The NPI number for Shale Imeson is 1962431759. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Shale Imeson located?

Shale Imeson practices at 2626 N California St Suite G, Stockton, CA 95204. The listed phone number is (209) 464-9846.

What is Shale Imeson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Shale Imeson enrolled in Medicare?

Yes. Shale Imeson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shale Imeson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shale Imeson reassigns Medicare benefits to 2 organizations: Cep America - Anesthesia PC (Stockton, CA) and Sutter Valley Medical Foundation (Modesto, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shale Imeson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shale Imeson was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.