NAWANA MIESA GRAY (NPI# 1578885919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578885919 |
| Entity Type | Individual |
| Full Name | NAWANA MIESA GRAY |
| Credential | OWNER/GENERAL MANAGE |
| Practice Address |
3007 Ginkgo Ct Stockton CA 95212-2716 |
| Mailing Address |
P.o. Box 55311 Stockton CA 95205-8811 |
| Practice Telephone | 2095949951 |
| Practice Fax Number | 2099560443 |
| Mailing Telephone | 2095949951 |
| Mailing Fax Number | 2099560443 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 11-102997 | CA | Transportation Services |
| Street Address |
3007 GINKGO CT |
| City | STOCKTON |
| State | CA |
| Zip Code | 95212-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
| 1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
| 1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
| 1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
| Find all providers in zip 95212 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564204 | Hamid Khan | Non-emergency Medical Transport (VAN) | 3038 Sonata Cir, Stockton, CA 95212-3837 | 2020-09-26 |
| 1326658329 | Focus Non-emergency Transportation | Non-emergency Medical Transport (VAN) | 9430 West Ln, Stockton, CA 95210-1432 | 2020-08-04 |
| 1922641919 | One Nation | Non-emergency Medical Transport (VAN) | 2419 Ophir St, Stockton, CA 95206-2226 | 2019-10-22 |
| 1215585211 | Clarence Thomasson | Non-emergency Medical Transport (VAN) | 1229 W Magnolia St, Stockton, CA 95203-2124 | 2019-09-03 |
| 1477109858 | Ustano K Mcvey | Non-emergency Medical Transport (VAN) | 521 W Oak St, Stockton, CA 95203-2815 | 2019-08-12 |
| 1801442231 | Wilma Quizon | Non-emergency Medical Transport (VAN) | 1469 Donati Cir, Stockton, CA 95206-2802 | 2019-08-12 |
| 1811559016 | Jrcs Partnership. Lp | Non-emergency Medical Transport (VAN) | 343 E Main St Ste 614, Stockton, CA 95202-2977 | 2019-07-08 |
| 1245793041 | Sync Care Transportation | Non-emergency Medical Transport (VAN) | 6333 Pacific Ave, Suite 185, Stockton, CA 95207-3713 | 2019-04-09 |
| 1124583075 | Ogheneruona Vine Ororho | Non-emergency Medical Transport (VAN) | 343 E Main St Ste 316, Stockton, CA 95202-2943 | 2019-02-05 |
| 1881164176 | N.e. Transport | Non-emergency Medical Transport (VAN) | 1020 W Poplar St, Stockton, CA 95203-2234 | 2018-11-29 |
| Find all providers in STOCKTON | ||||
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| 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.