Timothy Ray, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

52201 Issued in CA

Practice address

2221 Balfour Rd
Suite a
Brentwood, CA 94513-4932

Phone

(925) 389-7452

NPI assigned

Dec 17, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Robert E Beer M D Inc

  • Dermatology Physician
  • Brentwood, CA
  • NPI 1801449970
  Medicare reassignment

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1205234606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 OBRIEN PL",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261989",
            "telephone_number": "925-389-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 BALFOUR RD",
            "address_2": "SUITE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134932",
            "telephone_number": "925-389-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "TIMOTHY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "52201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Ramos, SLP
• Luis Ramos
• Makaylah Dean Rankins
• Verpula Arati Rao
• Rebecca Rapier, MA
• Dimple Rayani, DMD
• Lindsey Marie Rayner
• Rosalind Sheila Raynor
• Leila Razinejad
• Aija Denise Redding

• Medical Physician Assistant in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.

Verify at the official NPI Registry.