LISA YURIKA GRAY (AU.D.) – Audiologist, NPI 1669179149

LISA YURIKA GRAY (AU.D.) is a healthcare provider. based in Torrance, California. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 3746 (CA). The NPI Number for LISA YURIKA GRAY (AU.D.) is 1669179149

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
LISA YURIKA GRAY (AU.D.)
NPI
1669179149
Phone
(310) 540-4327
Address
4201 TORRANCE BLVD STE 140
Enumeration Date
14 February 2023
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3105404327
Graduation Year
2022 (4 years ago)
PAC ID
7810335270
Group Practice PAC ID
2365865755
Professional Enrollment ID
I20240403003801
Address ID
CA905034500TO4201XBLVD378
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

600 QUALIFIED AUDIOLOGIST in CA

Provider Addresses for LISA YURIKA GRAY (AU.D.)

  • 4201 TORRANCE BLVD STE 140

    TORRANCE, CA 905034500

    Phone: (310) 540-4327

    Fax: (310) 316-2685

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-04-03

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
I20240403003801IQualified AudiologistCATBD

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 90503)

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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: 2365865755View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to LISA YURIKA GRAY (AU.D.)?
NPI 1669179149 is assigned to LISA YURIKA GRAY (AU.D.) under the national enumeration system.
Is LISA YURIKA GRAY (AU.D.) currently active in the NPI registry?
CMS-published data lists LISA YURIKA GRAY (AU.D.) as an active registrant.
Does LISA YURIKA GRAY (AU.D.) list a primary specialty?
If you are matching referrals, note Audiologist for LISA YURIKA GRAY (AU.D.). Clinical services aligned with this taxonomy classification.
What location shows for LISA YURIKA GRAY (AU.D.)?
We surface Torrance, California for LISA YURIKA GRAY (AU.D.) based on available NPPES addresses.
Is LISA YURIKA GRAY (AU.D.) a real provider?
This page reflects official NPPES data for NPI 1669179149. Always confirm identity and privileges with the practice and licensing boards.

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