Ronnae Gray

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

38113 Issued in CA

Practice address

1501 Hughes Way Ste 150
Long Beach, CA 90810-1878

Phone

(310) 221-6336

NPI assigned

Jan 6, 2017

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1720524366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S TUSTIN ST BLDG D",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662550",
            "telephone_number": "714-289-3936",
            "fax_number": "714-289-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HUGHES WAY STE 150",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908101878",
            "telephone_number": "310-221-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S Tustin St Bldg D",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928662550",
            "country_code": "US",
            "telephone_number": "714-289-3936",
            "fax_number": "714-289-3938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RONNAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "38113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Gray
• Kandice Dominique Gray
• Larchelle Cherrice Gray
• Madeline Gray
• Robert Bruce Gray III
• Ryan Gray
• Sydney Danielle Gray, ACSW
• Earnest Glenn Grayson
• Tyler Grayson, NP
• Gabriella Marie Graziano

• Licensed Psychiatric Technician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.