AMALIA GRAY


Address: 1111 Sonoma Ave Ste 202, Santa Rosa, CA 95405-4813
Phone: 8086526744

AMALIA GRAY (NPI# 1326344268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326344268
Entity Type Individual
Full Name AMALIA GRAY
Credential C.N.M., RN
Practice Address 1111 Sonoma Ave Ste 202
Santa Rosa
CA 95405-4813
Practice Telephone 8086526744
Practice Fax Number 7075753941
Mailing Telephone 8085751626
Mailing Fax Number 7075753941
Enumeration Date 2011-02-09
Last Update Date 2019-01-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 66490 HI Nursing Service Providers
N 225700000X Massage Therapist 7772 HI Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
235941 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
2322 HI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1111 SONOMA AVE STE 202
City SANTA ROSA
State CA
Zip Code 95405-4813

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1306246772 Kirsten Eckert Advanced Practice Midwife 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 2014-09-03
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1851631642 Debi M. Emmons Marriage & Family Therapist 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 2013-02-15
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376797803 Nancy Goebel Evans Nurse Practitioner 3883 Airway Dr Ste 165, Suite 3, Santa Rosa, CA 95403-1675 2008-11-11
1336349133 Marian Vanita Lott Nurse Practitioner 583 Summerfield Rd, Santa Rosa, CA 95405-5239 2007-07-19
1700957057 Lisa Sara Pesce Nurse Practitioner 401 Bicentennial Way, Suite # 215, Santa Rosa, CA 95403-2149 2006-11-10
1447332366 Darlene Renee Peck Nurse Practitioner 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-10-19
1124120936 Anita Levine-goldberg Nurse Practitioner 401 Bicentennial Way, Suite 210, Santa Rosa, CA 95403-2149 2006-09-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1639553076 Pacific Women's Healthcare Associates Nurse Practitioner 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 2015-07-15
1548655921 Trudi J Petersen Nurse Practitioner 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 2015-04-01
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Competitor

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City SANTA ROSA
Zip Code 95405

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Dataset Information

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.

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