Active NPI
Ruth Ellen Gray
- Chiropractor
- Nipomo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 17933
- Practice address
- 150 Tejas PL
Nipomo, CA 93444-9123 - Phone
- (805) 929-3211
- NPI assigned
- Jul 21, 2006
- Last updated
- Jun 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 17933 | CA | Primary |
Addresses
Primary practice location
150 Tejas PL
Nipomo, CA 93444-9123
Mailing address
2050 S Blosser Rd
Santa Maria, CA 93458-7310
Phone (805) 361-8028
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC03884F | Medicaid | CA | |
| 1376560151 | Other | CA | GUADALUPE NPI |
| 1841217866 | Other | CA | NCMC NPI |
| W1508 | Other | MEDICARE GROUP NUMBER | |
| 1447277355 | Other | CA | CHCCC, SANTA MARIA 1 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Tejas PL
Nipomo, CA 93444-9123
Phone (805) 929-3211
2800 Riverside Ave
Suite 101
Paso Robles, CA 93446-1312
Phone (805) 929-3211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 17933 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients |
Locations
4723 W Main St
Ste H
Guadalupe, CA 93434
Phone (805) 343-2004
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014
2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200
1551 Bishop St
Ste 240
Sn Luis Obisp, CA 93401
Phone (805) 434-1038
1551 Bishop St
Ste A160
Sn Luis Obisp, CA 93401
Phone (805) 781-4230
325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644
Interoperability endpoints
- ruth.gray.1@17363.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Oceano, CA
- NPI 1336166248
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1275553257
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1447277355
-
- Federally Qualified Health Center (FQHC)
- Arroyo Grande, CA
- NPI 1447277488
-
dba Community Health Centers Cambria
- Federally Qualified Health Center (FQHC)
- Cambria, CA
- NPI 1881611705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1285655654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 S BLOSSER RD",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587310",
"telephone_number": "805-361-8028",
"fax_number": "805-361-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 TEJAS PL",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934449123",
"telephone_number": "805-929-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "RUTH",
"middle_name": "ELLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 17933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC03884F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUADALUPE NPI",
"identifier": "1376560151",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCMC NPI",
"identifier": "1841217866",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "W1508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHCCC, SANTA MARIA 1",
"identifier": "1447277355",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nipomo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.