MIKHAIL WENUTU FRASER-GRAY PA-C
NPI 1760648117
Physician Assistant in Tulare, CA

Q: What is Mikhail Fraser-gray's NPI number?

The NPI number for Mikhail Fraser-gray is 1760648117. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Q: What is Mikhail Fraser-gray's specialty?

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

Active since August 05, 2008PECOS EnrolledAccepts Medicare Assignment

869 N CHERRY ST, TULARE, CA 93274(559) 688-0821(818) 587-2493 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mikhail Wenutu Fraser-gray Pa-c NPPES

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

MIKHAIL WENUTU FRASER-GRAY PA-C (NPI 1760648117) is an individual physician assistant in Tulare, California, licensed in California (19766) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1760648117

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMIKHAIL WENUTU FRASER-GRAYCredential: PA-C

Location Address869 N CHERRY STTulare, CA 93274-2207

Mailing Address111 N Sepulveda Blvd, Suite 210Manhattan Beach, CA 90266-6861 · (310) 379-2134 · Fax (310) 379-4856

Phone(559) 688-0821

Fax(818) 587-2493

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 5, 2008

Last NPPES UpdateDecember 6, 2021

✔ NPI 1760648117 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 · 19766

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.

869 N CHERRY ST, Tulare, CA 93274

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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 and accepts Medicare assignment

Mikhail Wenutu Fraser-gray Pa-c 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 ID4688738909

PECOS Enrollment IDI20090202000397

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 93274 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

DR. SAMPDA SANJAYKUMAR SHARMA MD

Student in an Organized Health Care Education/Training Program