Nawana Miesa Gray, OWNER/GENERAL MANAGE

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

11-102997 Issued in CA

Practice address

3007 Ginkgo CT
Stockton, CA 95212-2716

Phone

(209) 594-9951

Fax

(209) 956-0443

NPI assigned

Feb 26, 2010

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": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1578885919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 55311",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952058811",
            "telephone_number": "209-594-9951",
            "fax_number": "209-956-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 GINKGO CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952122716",
            "telephone_number": "209-594-9951",
            "fax_number": "209-956-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "NAWANA",
        "middle_name": "MIESA",
        "credential": "OWNER/GENERAL MANAGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "11-102997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Larthea Gray-Peoples
• Angelique Deann Gray
• Gary A. Gray, PT
• Jalisha E Gray
• Jennifer A. Gray, MD
• Nicole Gray
• Serena Gray
• David Grayson, MFT- I
• Green Brothers Pharmacy Inc
• Green Brothers Pharmacy, Inc

• Non-emergency Medical Transport (VAN) in Stockton, CA
• Providers in Stockton, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.