MALLORY ELLEN DEGRAY
NPI 1336889146
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
About Mallory Ellen Degray NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY ELLEN DEGRAY (NPI 1336889146) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95020327) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mallory Ellen Degray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mallory Degray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90025
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90028
LOS ANGELES, CA 90028
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 Mallory Degray's NPI number?
The NPI number for Mallory Degray is 1336889146. It was assigned to this individual provider in the NPPES registry on March 30, 2022.
Where is Mallory Degray located?
Mallory Degray practices at 1625 Schrader Blvd, Los Angeles, CA 90028. The listed phone number is (323) 993-7500.
What is Mallory Degray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mallory Degray enrolled in Medicare?
Yes. Mallory Degray is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mallory Degray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Degray reassigns Medicare benefits to Treo Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Degray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mallory Degray was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mallory Ellen Degray · NPI 1336889146
Psychiatric/Mental Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1336889146 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95020327 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1625 SCHRADER BLVD, Los Angeles, CA 90028-6213
- **Phone:** (323) 993-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Treo Medical Group (NPI 1740040351, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336889146) · Data from the CMS NPPES public registry.