MCKENNA ALYSE GRAY
NPI 1609743939
Specialist in San Diego, CA

Active since October 21, 2025Accepts Medicare Assignment
13350 CAMINO DEL SUR STE 1, SAN DIEGO, CA 92129(858) 790-8549 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mckenna Alyse Gray NPPES

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

MCKENNA ALYSE GRAY (NPI 1609743939) is an individual specialist in San Diego, California, licensed in California (308506) and active in the NPI registry since October 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1609743939
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMCKENNA ALYSE GRAY
Location Address13350 CAMINO DEL SUR STE 1San Diego, CA 92129-4473
Mailing Address13350 Camino Del Sur Ste 1San Diego, CA 92129-4473 · (858) 790-8549
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1609743939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · 308506
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
13350 CAMINO DEL SUR STE 1, San Diego, CA 92129

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mckenna Alyse Gray is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961993837
PECOS Enrollment IDI20251118004653

Other Providers at the Same Location NPPES 4

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

Physical Therapist
13350 CAMINO DEL SUR STE 1
SAN DIEGO, CA 92129
Physical Therapist
13350 CAMINO DEL SUR STE 1
SAN DIEGO, CA 92129
Physical Therapist
13350 CAMINO DEL SUR STE 1
SAN DIEGO, CA 92129
Specialist
13350 CAMINO DEL SUR STE 1
SAN DIEGO, CA 92129

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 Mckenna Gray's NPI number?

The NPI number for Mckenna Gray is 1609743939. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Mckenna Gray located?

Mckenna Gray practices at 13350 Camino Del Sur Ste 1, San Diego, CA 92129. The listed phone number is (858) 790-8549.

What is Mckenna Gray's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mckenna Gray enrolled in Medicare?

Yes. Mckenna Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mckenna Gray was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.