Stefanie Gray

Individual provider Active NPI Case Manager/Care Coordinator · San Andreas, CA

NPI 1437036498 · NPPES record last updated Aug 20, 2025

Key facts

NPI
1437036498
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
891 Mountain Ranch Rd
San Andreas, CA 95249-9713
Phone
(209) 754-6525
NPI assigned
Aug 20, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

891 Mountain Ranch Rd
San Andreas, CA 95249-9713

Mailing address

6864 Harding Rd
Valley Springs, CA 95252-8759
Phone (209) 256-1933

Other providers in San Andreas, CA

All providers in San Andreas, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.