Healthcare Provider Details

I. General information

NPI: 1124961701
Provider Name (Legal Business Name): GRAY META HEALTH, A NURSING PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 CLEARVIEW DR
SAN JOSE CA
95133-1434
US

IV. Provider business mailing address

1177 BRANHAM LN
SAN JOSE CA
95118-3766
US

V. Phone/Fax

Practice location:
  • Phone: 888-919-6164
  • Fax:
Mailing address:
  • Phone: 408-373-8979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: RACHEL GRAY
Title or Position: NURSE PRACTITIONER/OWNER
Credential: MSN, FNP-BC
Phone: 408-373-8979