Active NPI
Ronald E McCray
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1659595353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 8401 S Vermont Ave
Los Angeles, CA 90044-3423 - Phone
- (323) 789-6492
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
8401 S Vermont Ave
Los Angeles, CA 90044-3423
Mailing address
1337 S Gaffey St Apt 8
San Pedro, CA 90731-4063
Phone (310) 548-6942
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841342318 | Medicaid | CA | |
| 1306922554 | Medicaid | CA | |
| 1265520183 | Medicaid | CA | |
| 225400000X | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1659595353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1337 S GAFFEY ST APT 8",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907314063",
"telephone_number": "310-548-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443423",
"telephone_number": "323-789-6492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRAY",
"first_name": "RONALD",
"middle_name": "E",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841342318",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306922554",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265520183",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225400000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.