Amy Gray, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

15526 Issued in CA

Practice address

381 Corporate Terrace Cir
Corona, CA 92879-6028

Phone

(951) 371-9200

Fax

(951) 371-9400

NPI assigned

Nov 24, 2015

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

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1972977221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 CORPORATE TERRACE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796028",
            "telephone_number": "951-371-9200",
            "fax_number": "951-371-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 CORPORATE TERRACE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796028",
            "telephone_number": "951-371-9200",
            "fax_number": "951-371-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "15526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim Granado, PT
• Joshua Grant
• Kendra Grant
• Kendra Chavonne Grant
• Kelly Ann Grawburg
• Marla Ellen Gray, LE
• Great Comfort Homecare of California, Inc.
• Greater Corona Extended Care, Inc..
• Greater Corona Sleep Diagnostic Center
• Greater Corona Sleep Diagnostic Center

• Women's Health Nurse Practitioner in Corona, CA
• Providers in Corona, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.