Individual provider Active NPI

Jeffrey Thomas Gray, M.D.

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1033478748
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G56251 Issued in CA
Practice address
3810 Rosin CT Ste 170
Sacramento, CA 95834-1658
Phone
(916) 567-4222
Fax
(916) 567-4220
NPI assigned
May 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G56251 CA Primary

Addresses

Primary practice location

3810 Rosin CT Ste 170
Sacramento, CA 95834-1658

Mailing address

27225 E El Macero Dr
El Macero, CA 95618-1004
Phone (707) 328-7099

Other practice location 1

5417 Madison Ave
Sacramento, CA 95841-3164
Phone (916) 388-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060418000279 CA Practitioner - Psychiatry 1456360593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Georgia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of SacramentoGroup PAC ID 0345231247, 45 clinicians

Practice addresses (Care Compare)

3870 Rosin CT
Suite 130
Sacramento, CA 95834-1647
Phone (916) 363-1553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G56251CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sacramento CurrentSince Jun 4, 2020 Accepting new patients
Visions Unlimited, Inc. CurrentSince Jun 4, 2020 Accepting new patients
County of Sacramento Current Accepting new patients
Turning Point Community Programs PastSince Feb 1, 2020 Accepting new patients

Locations

1400 A St
Bldg A
Sacramento, CA 95811
Phone (916) 440-1500

7001 East Pkwy
#A
Sacramento, CA 95823
Phone (916) 875-5701

3870 Rosin Ct
Ste 130
Sacramento, CA 95834
Phone (916) 363-1553

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1033478748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27225 E EL MACERO DR",
            "city": "EL MACERO",
            "state": "CA",
            "postal_code": "956181004",
            "telephone_number": "707-328-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 ROSIN CT STE 170",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341658",
            "telephone_number": "916-567-4222",
            "fax_number": "916-567-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5417 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958413164",
            "country_code": "US",
            "telephone_number": "916-388-3231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-15",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G56251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.