Individual provider Active NPI

Stanley Ray Cathey, PA

  • Medical Physician Assistant
  • Stockton, CA
National Provider Identifier
1093987414
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA11382 Issued in CA
Practice address
8719 Moreno CT
Stockton, CA 95209-1843
Phone
(209) 269-0120
Fax
(209) 476-1962
NPI assigned
Mar 26, 2008
Last updated
Jul 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA11382 CA Primary

Addresses

Primary practice location

8719 Moreno CT
Stockton, CA 95209-1843

Mailing address

8719 Moreno CT
Stockton, CA 95209-1843
Phone (209) 269-0120

Other names 1

  • Ray Cathey Professional name

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)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11382CAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1093987414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8719 MORENO CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091843",
            "telephone_number": "209-269-0120",
            "fax_number": "209-476-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8719 MORENO CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091843",
            "telephone_number": "209-269-0120",
            "fax_number": "209-476-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATHEY",
        "first_name": "STANLEY",
        "middle_name": "RAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "CATHEY",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.