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CULLEN HERCULES GRAY
NPI 1487369799
Physician Assistant in Los Angeles, CA

Active since January 20, 2023PECOS Enrolled
522 S SAN PEDRO ST, LOS ANGELES, CA 90013(562) 867-7999 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, Jan 20, 2023 (2 updates tracked since 2023).

About Cullen Hercules Gray NPPES

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

CULLEN HERCULES GRAY (NPI 1487369799) is an individual physician assistant in Los Angeles, California, licensed in California (64044) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487369799
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCULLEN HERCULES GRAY
Location Address522 S SAN PEDRO STLos Angeles, CA 90013
Mailing Address522 S San Pedro StLos Angeles, CA 90013-2102
Phone(562) 867-7999
Sole ProprietorYes
Enumeration DateJanuary 20, 2023
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1487369799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 64044
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
522 S SAN PEDRO ST, Los Angeles, CA 90013
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cullen Hercules Gray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LISA ELAINE BATCHELOR FNP, C, MSN
Nurse Practitioner (Family)
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Los Angeles County (562) 867-7999
ROBERT FISH PHYCHOLOGIST
Psychologist
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Los Angeles County (213) 486-4050
CHRISTIAN XAVIER HOSODA ASW
Student in an Organized Health Care Education/Training Program
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Los Angeles County (213) 486-4931
DR. GABRIEL PEDRO ROMERO FLORESCIO M.D.
Family Medicine
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Los Angeles County (661) 948-1228
ANA L ALVARENGA
Counselor (Mental Health)
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Los Angeles County (213) 486-4062
DR. ANDREW DANIEL MCKEE DMD
Dentist
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Los Angeles County (562) 867-7999
MS. PATRICIA NATALIE ANDERSON FNP APRN
Nurse Practitioner
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Los Angeles County (562) 867-7999
JWCH INSTITUTE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Los Angeles County (213) 622-2639

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 Cullen Gray's NPI number?

The NPI number for Cullen Gray is 1487369799. It was assigned to this individual provider in the NPPES registry on January 20, 2023.

Where is Cullen Gray located?

Cullen Gray practices at 522 S San Pedro St, Los Angeles, CA 90013. The listed phone number is (562) 867-7999.

What is Cullen Gray's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cullen Gray enrolled in Medicare?

Yes. Cullen Gray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cullen Gray was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.