Dr Jerrold I Grayson, MD is a
Radiology - Diagnostic Radiology physician based in Deer Park, California. Dr Jerrold I Grayson is licensed to practice in California (license number G26478) and his current practice location is 650 Sanitarium Rd, Deer Park, California. He can be reached at his office (for appointments etc.) via phone at
(707) 963-6430.
NPI number for Dr Jerrold I Grayson is 1134184476 and his current mailing address is Po Box 3222, Napa, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134184476.
Physician's Profile
Full Name | Dr Jerrold I Grayson |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 650 Sanitarium Rd, Deer Park, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134184476
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Jerrold I Grayson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134184476 | NPI | - | NPPES |
00G264780 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | G26478 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerrold I Grayson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jerrold I Grayson, MD Po Box 3222, Napa, CA 94558-0293 Ph: (707) 261-7821 | Dr Jerrold I Grayson, MD 650 Sanitarium Rd, Deer Park, CA 94576-9714 Ph: (707) 963-6430 |
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