Individual provider Active NPI

Maureen Gray, CCP

  • Perfusionist
  • Calabasas Hills, CA
National Provider Identifier
1598145278
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
License
870055 Issued in CA
Practice address
4240 Lost Hills Rd
Unit #1602
Calabasas Hills, CA 91301-5345
Phone
(310) 871-7264
NPI assigned
Jun 8, 2015
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X 870055 CA Primary

Addresses

Primary practice location

4240 Lost Hills Rd
Unit #1602
Calabasas Hills, CA 91301-5345

Mailing address

4240 Lost Hills Rd
Unit #1602
Calabasas Hills, CA 91301-5345
Phone (310) 871-7264

Other names 1

  • Meg Gray Other name

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

LicenseStateTypeSpecialty
870055CAMDPerfusionist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1598145278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 LOST HILLS RD",
            "address_2": "UNIT #1602",
            "city": "CALABASAS HILLS",
            "state": "CA",
            "postal_code": "913015345",
            "telephone_number": "310-871-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 LOST HILLS RD",
            "address_2": "UNIT #1602",
            "city": "CALABASAS HILLS",
            "state": "CA",
            "postal_code": "913015345",
            "telephone_number": "310-871-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MAUREEN",
        "credential": "CCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "CA",
            "license": "870055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEG",
            "last_name": "GRAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Calabasas Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.