Active NPI
Erika Ildiko Gray, INTERN PHARMACIST
- Geriatric Pharmacist
- Irvine, CA
National Provider Identifier
1528296290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 20116
- Practice address
- 3 Ninos
Irvine, CA 92620 - Phone
- (714) 731-1981
- Fax
- (714) 838-3942
- NPI assigned
- Jul 1, 2009
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 20116 | CA | Primary |
Addresses
Primary practice location
3 Ninos
Irvine, CA 92620
Mailing address
3 Ninos
Irvine, CA 92620
Other names 1
- Erika Ildiko Koltavary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20116 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1528296290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NINOS",
"city": "IRVINE",
"state": "CA",
"postal_code": "92620",
"fax_number": "714-838-3942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 NINOS",
"city": "IRVINE",
"state": "CA",
"postal_code": "92620",
"telephone_number": "714-731-1981",
"fax_number": "714-838-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ERIKA",
"middle_name": "ILDIKO",
"credential": "INTERN PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "20116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIKA",
"last_name": "KOLTAVARY",
"middle_name": "ILDIKO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.