MEDICARE: GRAY META HEALTH, A NURSING PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

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

Provider Business Mailing Address
First Line	:	2108 N ST STE N
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-5712
Country	:	US
Telephone Number	:	888-919-6164
Fax Number	:

Provider Business Practice Location Address
First Line	:	827 CLEARVIEW DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95133-1434
Country	:	US
Telephone Number	:	888-919-6164
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER/OWNER
Name	:	RACHEL GRAY
Credential	:	MSN, FNP-BC
Telephone Number	:	888-919-6164

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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