MR. JAMES GRAY (PA-C) – Medical Physician Assistant, NPI 1043387368

MR. JAMES GRAY (PA-C) is a healthcare provider. based in Compton, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA15777 (CA). The NPI Number for MR. JAMES GRAY (PA-C) is 1043387368

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES GRAY (PA-C)
NPI
1043387368
Phone
(310) 686-3209
Address
2115 N WILMINGTON AVE
Enumeration Date
30 November 2006
Last Update Date
1 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6104193310
Graduation Year
2000 (26 years ago)
PAC ID
8527230879
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20111007000607
Address ID
CA903011708IN110XXAVEX500

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MR. JAMES GRAY (PA-C)

  • North Wilmington Avenue, Compton, Los Angeles County, California, 90222, United States

    COMPTON, CA 902222030

    Phone: (310) 686-3209

    Type: Location

  • 811, Garnet Street, Redondo Beach, Los Angeles County, California, 90277, United States

    REDONDO BEACH, CA 902773420

    Phone: (310) 686-3209

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: ABBVIE INC. ($124).

Total Amount

$191

General + Research + Ownership

Payments

4

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$124
Ethicon US, LLC$66
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111007000607IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90222)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

How do I look up MR. JAMES GRAY (PA-C) by NPI?
Use NPI 1043387368 when you need to reference MR. JAMES GRAY (PA-C) in forms, claims, or directories.
Does this profile mean MR. JAMES GRAY (PA-C) is currently active?
Yes — MR. JAMES GRAY (PA-C) appears active in the national provider directory.
What kind of provider is MR. JAMES GRAY (PA-C)?
The page reflects Medical Physician Assistant for MR. JAMES GRAY (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place MR. JAMES GRAY (PA-C)?
The snapshot lists Compton, California for MR. JAMES GRAY (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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