Organization Active NPI

Sayan D Ray MD Professional Corporation

  • Rehabilitation Hospital Unit
  • Orange, CA
National Provider Identifier
1437456134
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
A66934 Issued in CA
Legal business name
SAYAN D RAY MD PROFESSIONAL CORPORATION
Practice address
845 W la Veta Ave Ste 107a
Orange, CA 92868-3930
Phone
(714) 289-7171
Fax
(714) 289-7177
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Dr. Sayan Deb Ray, M.D.NPI 1881607653
Title
Owner
Phone
(714) 289-7171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X A66934 CA Primary

Addresses

Primary practice location

845 W la Veta Ave Ste 107a
Orange, CA 92868-3930

Mailing address

845 W la Veta Ave Ste 107a
Orange, CA 92868-3930
Phone (714) 289-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110224000871 CA Part B Supplier - Clinic/Group Practice 4688855547 Receives reassigned benefits from 1 practitioner
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

845 W La Veta Ave
Ste 107A
Orange, CA 92868
Phone (714) 289-7171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1437456134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W LA VETA AVE STE 107A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683930",
            "telephone_number": "714-289-7171",
            "fax_number": "714-289-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W LA VETA AVE STE 107A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683930",
            "telephone_number": "714-289-7171",
            "fax_number": "714-289-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYAN D RAY MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "SAYAN",
        "authorized_official_middle_name": "DEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-289-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CA",
            "license": "A66934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.