SUSAN GENEVIEVE GRAY
NPI 1083306948
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Costa Mesa, CA

Active since May 22, 2023
3186 AIRWAY AVE, COSTA MESA, CA 92626(469) 938-9987 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Genevieve Gray NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN GENEVIEVE GRAY (NPI 1083306948) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Costa Mesa, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1083306948
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameSUSAN GENEVIEVE GRAY
Location Address3186 AIRWAY AVECosta Mesa, CA 92626-4650
Mailing Address6751 Atlantic AveLong Beach, CA 90805-1411 · (469) 938-9987
Sole ProprietorYes
Enumeration DateMay 22, 2023
NPPES CertifiedMay 20, 2023
NPI 1083306948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

3186 AIRWAY AVE, Costa Mesa, CA 92626

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
3186 AIRWAY AVE
COSTA MESA, CA 92626
Behavior Technician
3186 AIRWAY AVE
COSTA MESA, CA 92626
Behavior Technician
3186 AIRWAY AVE
COSTA MESA, CA 92626
Behavior Analyst
3186 AIRWAY AVE
COSTA MESA, CA 92626
Behavior Analyst
3186 AIRWAY AVE
COSTA MESA, CA 92626
Behavior Analyst
3186 AIRWAY AVE
COSTA MESA, CA 92626
Behavior Analyst
3186 AIRWAY AVE
COSTA MESA, CA 92626
Behavior Analyst
3186 AIRWAY AVE
COSTA MESA, CA 92626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Gray's NPI number?

The NPI number for Susan Gray is 1083306948. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Susan Gray located?

Susan Gray practices at 3186 Airway Ave, Costa Mesa, CA 92626. The listed phone number is (469) 938-9987.

What is Susan Gray's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Susan Gray was last updated on May 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.