| Carl O Gray, MD | |
|
22331 Mission Blvd, Hayward, CA 94541-3911 | |
| (510) 471-5880 | |
| Not Available |
| Full Name | Carl O Gray |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 22331 Mission Blvd, Hayward, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326126152 | NPI | - | NPPES |
| 00A928840 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A92884 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Tiburcio Vasquez Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851389696 PECOS PAC ID: 6608764709 Enrollment ID: O20040309001428 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl O Gray, MD 22331 Mission Blvd, Hayward, CA 94541-3911 Ph: (510) 471-5880 | Carl O Gray, MD 22331 Mission Blvd, Hayward, CA 94541-3911 Ph: (510) 471-5880 |
Dr. Joseph William Ippolito, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1605 Whipple Rd, Hayward, CA 94544 Phone: 510-378-3131 Fax: 510-324-0301 | |
Abayomi S Jones, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 25800 Carlos Bee Blvd, Hayward, CA 94542 Phone: 520-222-9664 Fax: 202-269-7990 | |
Mr. Harshad Bhagwanjee Wadhar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 226 Benmore Dr, Hayward, CA 94542 Phone: 412-779-6048 | |
Jagveer Kaur, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22331 Mission Blvd, Hayward, CA 94541 Phone: 510-471-5880 | |
Russell Leslie Blackburn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 21297 Foothill Blvd, Suite 201, Hayward, CA 94541 Phone: 510-538-4636 Fax: 510-538-1615 | |
Jade Bito-onon, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27206 Calaroga Ave Ste 105, Hayward, CA 94545 Phone: 510-785-5000 | |
Arkady Michailovich Massen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 19682 Hesperian Blvd Ste 101a, 1393 Santa Rita Rd. #a, Hayward, CA 94541 Phone: 510-783-0536 Fax: 510-315-1103 |