Individual provider Active NPI

Ray H Damours, MD

  • Specialist
  • Palmdale, CA
National Provider Identifier
1255329520
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G86236 Issued in CA
Practice address
819 Auto Center Drive
Palmdale, CA 93551
Phone
(661) 267-6876
Fax
(661) 538-9438
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G86236 CA Primary

Addresses

Primary practice location

819 Auto Center Drive
Palmdale, CA 93551

Mailing address

819 Auto Center Drive
Palmdale, CA 93551
Phone (661) 267-6876

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000955 CA Practitioner - AnesthesiologyPractitioner - Pain Management 9032198700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Miami, LM Miller School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Universal Pain Management Medical CorporationGroup PAC ID 1759369572, 10 clinicians

Practice addresses (Care Compare)

16179 Siskiyou CT
Apple Valley, CA 92307-1447
Phone (760) 241-0350

819 Auto Ctr Dr
Palmdale, CA 93551-4599

Merit-based Incentive Payment System (MIPS)

Final score
83.18 of 100Reported as group
Quality
54.44
Improvement activities
40
Cost
76.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G86236CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Pain Management Medical Corporation Specialist CurrentSince Jan 1, 2006 Accepting new patients
Universal Pain Management Medical Corp CurrentSince Jan 1, 2006 Accepting new patients
General Anesthesia Services Inc Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients

Locations

16179 Siskiyou Rd
Apple Valley, CA 92307
Phone (661) 267-6876

819 Auto Center Dr
Palmdale, CA 93551
Phone (661) 267-6876

1220 E Avenue S
Ste C
Palmdale, CA 93550
Phone (661) 267-6876

5000 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 580-2285

28212 Kelly Johnson Pkwy
Ste 155
Valencia, CA 91355
Phone (661) 367-9788

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1255329520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 AUTO CENTER DRIVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-267-6876",
            "fax_number": "661-538-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 AUTO CENTER DRIVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-267-6876",
            "fax_number": "661-538-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMOURS",
        "first_name": "RAY",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G86236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.