Individual provider Active NPI

Ted Wayne Gay, MD

  • Infectious Disease Physician
  • Vista, CA
National Provider Identifier
1043382104
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
C40108 Issued in CA
Practice address
122 Escondido Avenue
Ste 101
Vista, CA 92084-6055
Phone
(760) 806-9263
Fax
(760) 806-9264
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X C40108 CA Primary

Addresses

Primary practice location

122 Escondido Avenue
Ste 101
Vista, CA 92084-6055

Mailing address

122 Escondido Avenue
Ste 101
Vista, CA 92084-6055
Phone (760) 806-9263

Other identifiers 1

IdentifierTypeStateIssuer
00C40180MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Felisa Velesrubio MD, a Professional Corporation Infectious Disease Past Accepting new patients
Richard Colville Smith, M.D., Inc. Infectious Disease Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043382104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ESCONDIDO AVENUE",
            "address_2": "STE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846055",
            "telephone_number": "760-806-9263",
            "fax_number": "760-806-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ESCONDIDO AVENUE",
            "address_2": "STE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846055",
            "telephone_number": "760-806-9263",
            "fax_number": "760-806-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "TED",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "C40108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C40180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.