INDIRA GREY (NPI# 1407875487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407875487 |
| Entity Type | Individual |
| Full Name | INDIRA GREY |
| Credential | PA |
| Practice Address |
4941 Olivehurst Ave Olivehurst CA 95961-4225 |
| Mailing Address |
Po Box A D Yuba City CA 95992-1396 |
| Practice Telephone | 5307434611 |
| Practice Fax Number | 5307434614 |
| Mailing Telephone | 5307513769 |
| Mailing Fax Number | 5307511237 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA17723 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | PA17723 | 01 |
| Street Address |
4941 OLIVEHURST AVE |
| City | OLIVEHURST |
| State | CA |
| Zip Code | 95961-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356325120 | Karl F. Valrey | Internal Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2005-12-05 |
| 1447772124 | Kimberly D Wilson | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2017-07-13 |
| 1790229391 | Srikanth Kolli | Chiropractor | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2016-12-15 |
| 1932579943 | Sara Marie Skinner | Nurse Practitioner | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2015-10-02 |
| 1346510419 | Kaneshka Alamshahi | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2012-01-06 |
| 1609195270 | Tiffany N Winters | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2010-05-21 |
| 1396981692 | Gursharon Kaur Gill | Dental Hygienist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2008-12-17 |
| 1356443485 | Huy Q Phung | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-09-01 |
| 1053423202 | Harpreet K Johl | Family Medicine | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-08-31 |
| 1073532479 | Francisco Hernandez Martinez | Physician Assistant | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596315 | Shelby Marie Mclaughlin | Counselor | 471 Century Park Drive B, Yuba City, CA 95961 | 2019-03-07 |
| 1780125583 | Elia Moreno Thomas | Counselor | 1754 Skinner Ave, Olivehurst, CA 95961 | 2017-03-13 |
| 1356652549 | Hyesung Han | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961 | 2010-06-23 |
| 1225283195 | Pao Choua Lor | Driver | 4552 Meadow Wy, Olivehurst, CA 95961 | 2008-11-19 |
| 1235385725 | Thera Lynn Hampton | Specialist | 1345 Lady Fern St., Plumas Lake, CA 95961 | 2008-08-15 |
| 1841444049 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 5075 Olivehurst Avenue, Olivehurst, CA 95961-4023 | 2008-11-14 |
| 1699382192 | Ryan Sauer | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2020-09-28 |
| 1649721648 | Vandana Chaudhari | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2016-10-14 |
| 1679880850 | Tilak Baviskar | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2010-09-08 |
| 1255464871 | Olivehurst Drug Store Inc | Pharmacy | 4897 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2007-03-13 |
| Find all providers in zip 95961 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073532479 | Francisco Hernandez Martinez | Physician Assistant | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | OLIVEHURST |
| Zip Code | 95961 |
Please comment or provide details below to improve the information on INDIRA GREY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.