Individual provider Active NPI

Sonia Gray, NP

  • Family Nurse Practitioner
  • North Hollywood, CA
National Provider Identifier
1962108357
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024397 Issued in CA
Practice address
11633 Victory Blvd Ste 100
North Hollywood, CA 91606-3513
Phone
(818) 833-2880
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024397 CA Primary

Addresses

Primary practice location

11633 Victory Blvd Ste 100
North Hollywood, CA 91606-3513

Mailing address

11633 Victory Blvd Ste 100
North Hollywood, CA 91606-3513

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230920001511 CA Order and Referring Only - Nurse Practitioner 4183078470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024397CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: sonia.gray.1@17371.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1962108357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 VICTORY BLVD STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063513",
            "fax_number": "833-471-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 VICTORY BLVD STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063513",
            "telephone_number": "818-833-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SONIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.