Active NPI
David Alan Bray Jr., MD
- Plastic Surgery Physician
- Torrance, CA
National Provider Identifier
1124062765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A94530
- Practice address
- 3445 Pacific Coast Highway
Suite 320
Torrance, CA 90505 - Phone
- (310) 326-9400
- Fax
- (310) 326-9403
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A94531 | CA | |
| Plastic Surgery Physician | 208200000X | A94530 | CA | Primary |
Addresses
Primary practice location
3445 Pacific Coast Highway
Suite 320
Torrance, CA 90505
Mailing address
3445 Pacific Coast Highway
Suite 320
Torrance, CA 90505
Phone (310) 326-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070111000682 | CA | Practitioner - Otolaryngology | 7618977893 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94530 | CA | MD | Plastic Surgery Physician |
| A94531 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Torrance Memorial Medical Center | Past | Accepting new patients | |
| Providence Health System Southern California | Past | Accepting new patients |
Locations
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501
Organizations & group practices 4
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.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261180800000",
"number": "1124062765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 PACIFIC COAST HIGHWAY",
"address_2": "SUITE 320",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90505",
"telephone_number": "310-326-9400",
"fax_number": "310-326-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 PACIFIC COAST HIGHWAY",
"address_2": "SUITE 320",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90505",
"telephone_number": "310-326-9400",
"fax_number": "310-326-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2009-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A94531",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A94530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.