Mayra Jasmin Grey, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95027023 Issued in CA

Practice address

11735 Firestone Blvd
Norwalk, CA 90650-2808

Phone

(562) 925-7716

NPI assigned

Sep 4, 2023

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manuel F Mendoza MD IncGroup PAC ID 9537244769, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Manuel F. Mendoza, M.D., Inc

  • Family Medicine Physician
  • Norwalk, CA
  • NPI 1942416045

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Amada Mendoza Nursing Corporation

  • Obstetrics & Gynecology Physician
  • Bellflower, CA
  • NPI 1407272685

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1669258992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 N FIR ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682646",
            "telephone_number": "714-307-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502808",
            "telephone_number": "562-925-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "MAYRA",
        "middle_name": "JASMIN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigette Bertha Granados, MSW
• Brandon J Grant
• Cambria Grant
• Nina Tatiana Gray
• Chelsea Briana Green
• Kayla Rae Griffin, LLPT
• Jaclyn Kay Jean Griffith
• Heather Grim
• Linette Aileen Grint, LCSW
• Grupo Medico del Carmen a Multy Specialty Medical Group, Inc

• Family Nurse Practitioner in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.