John Gray, is a
Licensed Psychiatric Technician based in Redwood City, California. John Gray is licensed to practice in California (license number PT31312) and his current practice location is
240 Edmonds Rd Bldg D, Redwood City, California. He can be reached at his office (for appointments etc.) via phone at
(650) 209-1100.
NPI number for John Gray is 1982054755 and his current mailing address is 240 Edmonds Rd Bldg D, Redwood City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982054755.
Healthcare Provider's Profile
| Full Name | John Gray |
|---|
| Gender | Male |
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| Speciality | Licensed Psychiatric Technician |
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| Location | 240 Edmonds Rd Bldg D, Redwood City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982054755
- Provider Enumeration Date: 06/13/2016
- Last Update Date: 05/01/2025
Medical Identifiers
Medical identifiers for John Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982054755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 167G00000X | Licensed Psychiatric Technician | PT31312 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Gray,
240 Edmonds Rd Bldg D,
Redwood City, CA 94062-3813
Ph: (650) 209-1100 | John Gray,
240 Edmonds Rd Bldg D,
Redwood City, CA 94062-3813
Ph: (650) 209-1100 |
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