| Brian C Gray, MD | |
|
101 Laguna Rd Ste 100, Fullerton, CA 92835-3601 | |
| (714) 992-5350 | |
| (714) 992-8156 |
| Full Name | Brian C Gray |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 32 Years |
| Location | 101 Laguna Rd Ste 100, Fullerton, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457316705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A54225 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Jude Medical Center | Fullerton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1329 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian C Gray, MD 101 Laguna Rd Ste 100, Fullerton, CA 92835-3601 Ph: (714) 992-5350 | Brian C Gray, MD 101 Laguna Rd Ste 100, Fullerton, CA 92835-3601 Ph: (714) 992-5350 |
Dennis J Buchanan, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 Laguna Rd Ste 100, Fullerton, CA 92835 Phone: 714-992-5350 Fax: 714-992-8156 | |
Vasiliki Tatsis, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2262 N State College Blvd, Fullerton, CA 92831 Phone: 714-990-2900 Fax: 714-990-3133 | |
Dr. Jerald John Thanos, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2262 N State College Blvd, Fullerton, CA 92831 Phone: 714-990-2900 Fax: 714-990-3133 | |
Pouran Malekzadeh, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 E Valencia Mesa Dr Ste 311, Fullerton, CA 92835 Phone: 714-992-5350 | |
Daniel Alan Potter, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 270 Laguna Rd, Suite 220, Fullerton, CA 92835 Phone: 714-738-4200 Fax: 714-738-4496 | |
Dr. Se-ung Samuel Kim, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2720 N Harbor Blvd Ste 220, Fullerton, CA 92835 Phone: 657-243-8300 Fax: 714-278-4286 | |
Dr. Earl S. Fuller, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 508 Elinor Dr., Fullerton, CA 92835 Phone: 714-879-7526 Fax: 714-449-1577 |