Dev Singh Rai, PA
Individual provider Active NPI Physician Assistant · Mendota, CA
NPI 1508991761 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508991761
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA16533 (CA)
- Practice address
- 507 Oller St
Mendota, CA 93640-2360 - Phone
- (559) 655-4211
- Fax
- (559) 655-5256
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
-
Virender Singh Kaleka, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190418000026 | CA | Practitioner - Physician Assistant | 8527309665 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16533 | CA | MD | Speech-Language Pathologist |
| PA16533 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers Inc | Current |
Accepting new patients |
Locations
420 E El Monte Way
Dinuba, CA 93618
Phone (559) 449-1237
507 Oller St
Mendota, CA 93640
Phone (559) 655-1000
2057 High St
Selma, CA 93662
Phone (559) 449-1237
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16533 | CA | Yes |
Addresses
Primary practice location
507 Oller St
Mendota, CA 93640-2360
Mailing address
507 Oller St
Mendota, CA 93640-2360
Phone (559) 655-4211
Other providers in Mendota, CA
- Trang M Nguyen
- Pharmkee, Inc.
- Promesa Behavioral Health
- Promesa Behavioral Health
- Promesa Behavioral Health
- Sonia Fabionar Relingo
- Karina Dalit Rodriguez
- Marcia Eckelman Sablan
- Adam Sanchez III
- Shila Shafii Noori
All providers in Mendota, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.