MR. TIMOTHY PATRICK GRAY (NPI# 1972565877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972565877 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY PATRICK GRAY |
| Credential | M.D. |
| Practice Address |
3838 Sherman Dr Suite 2 Riverside CA 92503-4001 |
| Practice Telephone | 9513547270 |
| Practice Fax Number | 9513540625 |
| Mailing Telephone | 9513547270 |
| Mailing Fax Number | 9513540625 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2010-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A52768 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
G54671 | CA | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
G54671 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G5467100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124532411 | Timothy E Gray | Behavioral Analyst | 2410 Minnick Rd, Forest Hill, MD 21050-1614 | 2017-11-22 |
| 1023087962 | Timothy K Gray | Internal Medicine | 2831 Tricom Street, North Charleston, SC 29406-9193 | 2006-03-14 |
| 1851377410 | Timothy P Gray | Physical Therapist | 621 E Alexander St, Plant City, FL 33563-7126 | 2005-12-15 |
| 1588662118 | Timothy Ross Gray | Dentist | 13106 Se 240th St, Suite 102, Kent, WA 98031-9210 | 2005-07-08 |
| 1003810441 | Timothy J. Gray Sr. | Family Medicine | 1909 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2893 | 2005-06-13 |
| 1215984752 | Timothy J Gray | Orthopaedic Surgery | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2006-05-30 |
| 1699770057 | Timothy J. Gray II | Family Medicine | 1909 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2893 | 2005-06-14 |
| Street Address |
3838 SHERMAN DR SUITE 2 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906140 | Carl Wolnisty | Internal Medicine | 3838 Sherman Dr, Suite 7, Riverside, CA 92503-4001 | 2005-07-19 |
| 1053855585 | Chandrasekhar Eadara | Pharmacist | 3838 Sherman Dr, Ste 1, Riverside, CA 92503-4001 | 2016-12-19 |
| 1316319106 | Laura Marie Aguilar | Nurse Practitioner | 3838 Sherman Dr, Suite 3, Riverside, CA 92503-4001 | 2015-10-20 |
| 1063899698 | Inland Pediatrics, Inc. | Pediatrics | 3838 Sherman Dr, Suite 7, Riverside, CA 92503-4001 | 2015-05-04 |
| 1144597444 | Paul Micheal Hupp | Physician Assistant | 3838 Sherman Dr, Suite 3, Riverside, CA 92503-4001 | 2011-11-30 |
| 1982996898 | Ming-chuan Chang | Nurse Practitioner | 3838 Sherman Dr, Sutie 10, Riverside, CA 92503-4001 | 2011-05-11 |
| 1437321155 | Sharon Laughlin Inc | Legal Medicine | 3838 Sherman Dr, 3, Riverside, CA 92503-4001 | 2008-04-02 |
| 1982875704 | Carl Wolnisty Md Inc | Internal Medicine | 3838 Sherman Dr, Suite 7, Riverside, CA 92503-4098 | 2008-03-19 |
| 1821278169 | Hajera Sultana Md., Inc | Family Medicine | 3838 Sherman Dr, Ste 12, Riverside, CA 92503-4001 | 2007-11-04 |
| 1124207410 | Robert E Parker Dpm | Podiatrist | 3838 Sherman Dr, Suite 9, Riverside, CA 92503-4001 | 2007-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144630617 | Phillip Joseph Glivar | Orthopaedic Surgery | 4234 Riverwalk Pkwy Ste 200, Riverside, CA 92505-3312 | 2014-05-05 |
| 1457557100 | Babak Razaghi Khamsi | Orthopaedic Surgery | 6276 River Crest Dr, Riverside, CA 92507-0783 | 2007-06-21 |
| 1336100379 | Thomas T Haider | Orthopaedic Surgery | 6276 River Crest Dr, Riverside, CA 92507-0754 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
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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.