Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregory OTA

Individual provider Pharmacist · NPI 1558925354

Gregory OTA is a Pharmacist in Burlingame, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1871 El Camino Real
Burlingame, CA 94010-3220
Phone: (650) 692-5065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 40775 (CA)

Record details

NPI number1558925354
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 26, 2019
Last updated in NPPESApril 26, 2019
Mailing address1871 El Camino Real, Burlingame, CA 94010-3220

Other providers in Burlingame