Active NPI
Paul R. Gregory, Jr. MD
- Specialist
- Carmichael, CA
National Provider Identifier
1487762274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PAUL R. GREGORY, JR. MD
- Practice address
- 6620 Coyle Ave
Suite 212
Carmichael, CA 95608-6333 - Phone
- (916) 536-9455
- Fax
- (916) 536-9424
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul R Gregory Jr., MD
- Title
- Owner
- Phone
- (916) 536-9455
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
6620 Coyle Ave
Suite 212
Carmichael, CA 95608-6333
Mailing address
6620 Coyle Ave
Suite 212
Carmichael, CA 95608-6333
Phone (916) 536-9455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0102720 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Trauma Physician
- Carmichael, CA
- NPI 1427166453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270684800000",
"number": "1487762274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 COYLE AVE",
"address_2": "SUITE 212",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956086333",
"telephone_number": "916-536-9455",
"fax_number": "916-536-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 COYLE AVE",
"address_2": "SUITE 212",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956086333",
"telephone_number": "916-536-9455",
"fax_number": "916-536-9424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL R. GREGORY, JR. MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2010-04-08",
"status": "A",
"authorized_official_last_name": "GREGORY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-536-9455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0102720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.