Tamika Gray

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

279975 Issued in CA

Practice address

682 E la Verne Ave
Pomona, CA 91767-2845

Phone

(213) 725-9171

NPI assigned

Nov 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1427823848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 E LA VERNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672845",
            "telephone_number": "909-821-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 E LA VERNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672845",
            "telephone_number": "213-725-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TAMIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "279975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Granger
• Selena Tiana Grant
• Nirmala Gratton, MFT INTERN
• Dennis L. Gray
• Joseph M Gray, O.D.
• Donisha Titiana Green-Guidry
• Kamari Green
• Natasha Candace Green
• Palestine Green, NP
• Wade Anthony Green, BT

• Licensed Vocational Nurse in Pomona, CA
• Providers in Pomona, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.