Organization Active NPI

Paul R. Gregory, Jr. MD

  • Specialist
  • Carmichael, CA
National Provider Identifier
1487762274
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Dr. Paul R Gregory Jr., MDNPI 1427166453
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GR0102720MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.