Organization Active NPI

Robert F. Gray,MD, Inc

  • Otolaryngology/Facial Plastic Surgery Physician
  • Tracy, CA
National Provider Identifier
1780858993
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
G83766 Issued in CA
Legal business name
ROBERT F. GRAY,MD, INC
Practice address
479 W Eaton Ave
Tracy, CA 95376-3420
Phone
(209) 249-6655
Fax
(209) 249-6655
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Robert Francis Gray, MD
Title
Physician Owner
Phone
(209) 249-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X G83766 CA Primary

Addresses

Primary practice location

479 W Eaton Ave
Tracy, CA 95376-3420

Mailing address

479 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 249-6655

National Provider Directory

National Provider Directory

Locations

531 Main St
Pleasanton, CA 94566
Phone (925) 846-2772

479 W Eaton Ave
Ste 301
Tracy, CA 95376
Phone (209) 249-6655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1780858993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 W EATON AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763420",
            "telephone_number": "209-249-6655",
            "fax_number": "209-249-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 W EATON AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763420",
            "telephone_number": "209-249-6655",
            "fax_number": "209-249-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. GRAY,MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "209-249-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "G83766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.