Active NPI
Rita Darlene Ray, NP
- Family Medicine Physician
- Long Beach, CA
National Provider Identifier
1659969962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 95015627
- Practice address
- 500 Alamitos Ave Ste a
Long Beach, CA 90802-1614 - Phone
- (949) 304-7031
- NPI assigned
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 95015627 | CA | Primary |
Addresses
Primary practice location
500 Alamitos Ave Ste a
Long Beach, CA 90802-1614
Mailing address
600 Anton Blvd
Ste 1100
Costa Mesa, CA 92626-7100
Phone (202) 455-0013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95015627 | CA | MD | Family Medicine Physician |
Interoperability endpoints
- rita.ray@682114225012740.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1659969962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 ANTON BLVD",
"address_2": "STE 1100",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926267100",
"telephone_number": "202-455-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALAMITOS AVE STE A",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908021614",
"telephone_number": "949-304-7031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "RITA",
"middle_name": "DARLENE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "95015627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.