MICHAEL GRAY (NPI# 1659481869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659481869 |
| Entity Type | Individual |
| Full Name | MICHAEL GRAY |
| Credential | PA |
| Practice Address |
625 Lincoln Ave San Jose CA 95126-3705 |
| Mailing Address |
400 Race St San Jose CA 95126-3518 |
| Practice Telephone | 4082783620 |
| Practice Fax Number | 4082783692 |
| Mailing Telephone | 4082783000 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11821 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0PA118210 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1003321423 | Michael Andrew Gray | Pharmacist | 202 S Mockingbird Ln, Keene, TX 76059-1930 | 2017-12-07 |
| 1265833966 | Michael Gray | Social Worker | 1431 Park Pl Apt 3, Brooklyn, NY 11213-3068 | 2014-09-12 |
| 1265799944 | Michael Ryan Gray | Counselor | 14515 A St S Apt 103d, Tacoma, WA 98444-6943 | 2012-04-18 |
| 1144494287 | Michael Gray | Military Health Care Provider | Psc 564 373, Fpo, AP 96387 | 2008-04-19 |
| 1275734964 | Michael W Gray | Surgery | 6635 Daly Rd, West Bloomfield, MI 48322-3410 | 2007-05-30 |
| 1134277247 | Michael Robert Gray | Psychiatry & Neurology | 2 W 46th St, Suite 506, New York, NY 10036-4811 | 2007-01-08 |
| 1891865382 | Michael Patrick Gray | Psychologist | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2006-11-09 |
| 1477634350 | Michael T Gray | Specialist | 125 Sunrise Hwy, West Islip, NY 11795-2023 | 2006-10-18 |
| 1639120520 | Michael R Gray | Internal Medicine | 300 S Ocotillo Ave, Benson, AZ 85602-6401 | 2006-05-15 |
| Street Address |
625 LINCOLN AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700850708 | Brian Farris | Internal Medicine | 625 Lincoln Ave, San Jose, CA 95126-3705 | 2006-02-15 |
| 1447817309 | Liane Christine Tongol | Physician Assistant | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2019-05-24 |
| 1689014755 | Sheetal Ankolekar | Family Medicine | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2013-07-03 |
| 1902145592 | Thanh-tam Ngoc Nguyen | Family Medicine | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2013-02-03 |
| 1023360930 | Daniel Hudson Morgan | Family Medicine | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2012-10-03 |
| 1326312067 | Verity Medical Foundation | Clinic/Center | 625 Lincoln Ave, San Jose, CA 95126-3705 | 2012-02-27 |
| 1053604652 | Hd Ultrasound, LLC | Clinic/Center | 625 Lincoln Ave, Suite 201, San Jose, CA 95126-3705 | 2011-05-16 |
| 1437469129 | Steven How-han Sheh | Internal Medicine | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2010-10-14 |
| 1568503654 | Physicians Medical Group of San Jose, Inc. | Non-Pharmacy Dispensing Site | 625 Lincoln Ave, San Jose, CA 95126-3705 | 2007-02-09 |
| 1871658864 | Ruta V Wakharkar | Internal Medicine | 625 Lincoln Ave, San Jose, CA 95126-3785 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254674 | Nina Ya Lai | Physician Assistant | 398 Boynton Ave, Apt 11, San Jose, CA 95117-1258 | 2017-02-16 |
| 1285017335 | John Araujo | Physician Assistant | 1375 Blossom Hill Rd Ste 49, San Jose, CA 95118-3806 | 2015-07-08 |
| 1861834400 | Diana Ngoc Nguyen | Physician Assistant | 667 N White Rd, San Jose, CA 95127-1447 | 2013-07-24 |
| 1790037828 | Jesse Garland Smith | Physician Assistant | 1533 Koch Ln, San Jose, CA 95125-4852 | 2012-10-13 |
| 1902106982 | Metamorph, Inc. | Physician Assistant | 7725 Kilmarnok Dr, San Jose, CA 95135-2140 | 2010-10-25 |
| 1184671901 | Bina P Raghavan | Physician Assistant | 6260 Grand Oak Way, San Jose, CA 95135-2203 | 2006-05-27 |
| 1366064800 | Naomi Ayodele | Physician Assistant | 1691 The Alameda, San Jose, CA 95126-2203 | 2020-05-07 |
| 1982113007 | Melissa Nastacio | Physician Assistant | 1680 E Capitol Expy Ste 10, San Jose, CA 95121-1839 | 2017-09-20 |
| 1780038091 | Whitney Aislinn Porter | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2016-04-22 |
| 1902264021 | Briana Gonzalez | Physician Assistant | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2016-02-03 |
| Find all providers in SAN JOSE | ||||
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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.