Randy R Gray, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

258 Issued in CA

Practice address

2550 Sister Mary Columba Dr
Red Bluff, CA 96080-4327

Phone

(530) 528-8701

Fax

(530) 528-8712

NPI assigned

Dec 2, 2006

Last updated

Jan 31, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• North Valley Anesthesia Associates

  • Anesthesiology Physician
  • Chico, CA
  • NPI 1619483575
  Medicare reassignment NPD
• Premier Anesthesia of California, PC

  • Anesthesiology Physician
  • San Ramon, CA
  • NPI 1770691859

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• San Joaquin Faculty Medical Group

  • Internal Medicine Physician
  • French Camp, CA
  • NPI 1225063761
  Medicare reassignment NPD
• Life Saving Devices Inc.

  • Certified Registered Nurse Anesthetist
  • Redding, CA
  • NPI 1821636440
  Authorized official Same address or phone
• Anesthesia Services of San Joaquin, P.C.

  • Anesthesiology Physician
  • French Camp, CA
  • NPI 1366778227
  NPD (past)
• Delta Sierra Medical Group, Inc

  • Cardiovascular Disease Physician
  • French Camp, CA
  • NPI 1578598595
  NPD (past)

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1700954070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6940",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959276940",
            "telephone_number": "530-518-9290",
            "fax_number": "530-899-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SISTER MARY COLUMBA DR",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804327",
            "telephone_number": "530-528-8701",
            "fax_number": "530-528-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RANDY",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700954070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE ANETHETIS",
            "identifier": "NA258",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James N Gonzalez
• William James Goodin, DDS
• Nicole Fay Gossett
• Marshall Paul Gouze, PH.D.
• Elizabeth Carol Gowan, LMFT
• Tisha Graybill
• Rodney Roy Green, LCSW, LMFT
• Frank Philip Greene, MD
• Greenville Rancheria
• Greenville Rancheria

• Certified Registered Nurse Anesthetist in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.