MICHAEL GRAY PA NPI 1659481869

NPI Information

NPI: 1659481869
Provider Name: MICHAEL GRAY, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
625 LINCOLN AVE
SAN JOSE, CA
ZIP 95126
Phone: (408) 871-5260
Get Directions

Michael Gray, PA is a medical physician assistant in San Jose, CA. Michael Gray, PA NPI is 1659481869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

625 LINCOLN AVE
SAN JOSE, CA
ZIP 95126-785
Phone: (408) 871-5260
Fax: (408) 871-3237

The enumeration date for this NPI number is 8/30/2006 and was last updated on 11/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA11821	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0PA118210	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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