Gary Richard Gray, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6348 Issued in CA

Practice address

1441 Constitution Blvd
BLDG. 200, Suite 102
Salinas, CA 93906-3100

Phone

(831) 755-4123

Fax

(831) 755-4122

NPI assigned

Aug 20, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• County of Monterey

  dba Natividad Medical Center

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1205863255

  Corporate Officer, Operational/Managerial Control

  CMS ownership

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

• County of Monterey

  dba Natividad Medical Center

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1205863255
  Medicare reassignment NPD
• County of Monterey Behavioral Health

  dba Access to Treatment Pearl St

  • Adult Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1053126003
  NPD
• County of Monterey

  dba Alisal Integrated Health Center

  • Federally Qualified Health Center (FQHC)
  • Salinas, CA
  • NPI 1508629171
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679688899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 E ALISAL ST",
            "address_2": "SUITE 201",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052516",
            "telephone_number": "831-769-8800",
            "fax_number": "831-422-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "address_2": "BLDG. 200, SUITE 102",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-755-4123",
            "fax_number": "831-755-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "GARY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70127F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant D. Rosen, D.D.S., Inc.
• Truitt Grant, LCSW
• Devon Gravert, BCBA
• Christina Gray
• Claudia Gabriela Gray
• John M Gray, D.O.
• Kelsey Gray, M.D.
• Kimberly Gray, LCSW
• Allison Bethany Green
• Camryn Alyssa Green

• Family Medicine Physician in Salinas, CA
• Providers in Salinas, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.