Individual provider Active NPI

Timothy Hugh Rayner, M.D.

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1548333958
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C51259 Issued in CA
Practice address
1350 Columbia St Unit 800
San Diego, CA 92101-3456
Phone
(619) 255-1646
Fax
(619) 255-1646
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C51259 CA Primary

Addresses

Primary practice location

1350 Columbia St Unit 800
San Diego, CA 92101-3456

Mailing address

1350 Columbia St Unit 800
San Diego, CA 92101-3456
Phone (619) 255-1646

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
I20040423001415 CA Practitioner - Psychiatry 5496741324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1350 Columbia St
Unit 800
San Diego, CA 92101-3456
Phone (619) 255-1646

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51259CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy H. Rayner, M.D., a Medical Corporation CurrentSince Sep 8, 2025 Accepting new patients

Locations

1350 Columbia St
Unit 800
San Diego, CA 92101
Phone (619) 244-4420

Organizations & group practices 1

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1548333958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 COLUMBIA ST UNIT 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013456",
            "telephone_number": "619-255-1646",
            "fax_number": "619-255-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 COLUMBIA ST UNIT 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013456",
            "telephone_number": "619-255-1646",
            "fax_number": "619-255-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNER",
        "first_name": "TIMOTHY",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C51259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.