Individual ProviderEmily Ann Gray BelmontNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address725 Welch Rd, Palo Alto, CA 94304-1601(714) 609-9053PECOS EnrollmentBased on the most recent information from CMS, provider Emily Ann Gray Belmont does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1386375111Provider TypeIndividualFull NameBelmont, Emily Ann GrayCredentialAC/PC-PNPGenderFemaleSole ProprietorYesEnumeration Date6/22/2022Last Updated1/7/2025Contact InformationPractice LocationPractice Address725 Welch Rd, Palo Alto, CA 94304-1601Phone(714) 609-9053FaxUnlisted FaxMailing LocationMailing Address3216 Primrose Ln, Yorba Linda, CA 92886-1898Phone(714) 609-9053FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0222XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95021703CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer