LOUISE MARY GRAY PA
NPI 1366225393
Physician Assistant - Medical in San Diego, CA
About Louise Mary Gray Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOUISE MARY GRAY PA (NPI 1366225393) is an individual medical provider in San Diego, California, licensed in California (PA65825) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Louise Mary Gray Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Louise Gray's NPI number?
The NPI number for Louise Gray is 1366225393. It was assigned to this individual provider in the NPPES registry on August 15, 2023.
Where is Louise Gray located?
Louise Gray practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8800.
What is Louise Gray's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Louise Gray enrolled in Medicare?
Yes. Louise Gray is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Louise Gray was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Louise Mary Gray, PA · NPI 1366225393
Medical physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 15, 2023.
## Identity
- **NPI:** 1366225393 (Entity type: Individual)
- **Enumerated:** August 15, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA65825 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366225393) · Data from the CMS NPPES public registry.