BETHEL GRAY (NPI# 1255728721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255728721 |
| Entity Type | Individual |
| Full Name | BETHEL GRAY |
| Practice Address |
2001 Stearns Dr Los Angeles CA 90034-1617 |
| Practice Telephone | 3239328203 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HEALTH NET, PLAN MEDI-CAL GMC/PHP ADULT | 92370101C01 | 01 |
| CA | FIRST HEALTH PART D | 90648535901 | 01 |
| CA | 92370101C | 05 |
| Street Address |
2001 STEARNS DR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073918033 | Smith Medical Management | Exclusive Provider Organization | 2953 S Palm Grove Ave, Los Angeles, CA 90016-3519 | 2014-11-03 |
| 1255735908 | National Disability Evaluations | Exclusive Provider Organization | 11500 W Olympic Blvd Ste 580, Los Angeles, Los Angeles, CA 90064-1537 | 2014-10-09 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| 1952600553 | Wings of Refuge,inc. | Exclusive Provider Organization | 2516 W 54th St, Los Angeles, CA 90043-2613 | 2011-03-22 |
| 1649577206 | Wings of Refuge, Inc. | Exclusive Provider Organization | 2516 W. 54th Street, Los Angeles, CA 90043 | 2011-02-17 |
| 1881991776 | Wings of Refuge, Inc. | Exclusive Provider Organization | 2560 W 54th St, Los Angeles, CA 90043-2613 | 2011-02-11 |
| 1720205891 | Robert T. Kimura D.m.d. | Exclusive Provider Organization | 11980 San Vicente Blvd Ste 500, Los Angeles, CA 90049-6603 | 2007-04-19 |
| 1275657314 | Pacific Clinics | Exclusive Provider Organization | 622 Wall St, E215, Los Angeles, CA 90014-2314 | 2007-03-16 |
| 1174073233 | Return To Health | Exclusive Provider Organization | 2001 S Barrington Ave Ste 316, Los Angeles, CA 90025-5379 | 2016-10-12 |
| 1326409822 | Family Crisis Center | Exclusive Provider Organization | 2116 Arlington Ave, Los Angeles, CA 90018-1353 | 2016-03-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
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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.