Individual provider Active NPI

Vincent Lavalles Ray, M.D.

  • Ophthalmology Physician
  • Fremont, CA
National Provider Identifier
1891928008
Registry record updated Nov 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A98487 Issued in CA
Practice address
38707 Stivers St
Suite B
Fremont, CA 94536-5337
Phone
(510) 792-0795
Fax
(510) 792-0795
NPI assigned
Sep 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A98487 CA Primary

Addresses

Primary practice location

38707 Stivers St
Suite B
Fremont, CA 94536-5337

Mailing address

38707 Stivers St
Suite B
Fremont, CA 94536-5337
Phone (510) 792-0795

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ80788ZMedicaidCA
5914763MedicaidNC

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
I20131226000541 CA Practitioner - Ophthalmology 7911038559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth C Low MD a Professional CorporationGroup PAC ID 4082668645, 2 clinicians

Practice addresses (Care Compare)

38707 Stivers St
Fremont, CA 94536-5337
Phone (510) 794-0660

Hospital & facility affiliations

  • Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
98.85
Improvement activities
40
Cost
50.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98487CAMDMarriage & Family Therapist
A98487CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Aug 26, 2013 Accepting new patients
Alameda Health System CurrentSince Aug 26, 2013 Accepting new patients
Alameda Health System Current Accepting new patients
Washington Township Hospital District Past Accepting new patients
North Carolina Baptist Hospital Past Accepting new patients
St Mary Medical Center Inc Past Accepting new patients
St Mary Medical Center Inc Past Accepting new patients
University of California San Francisco Past Accepting new patients
North Carolina Baptist Hospital Past Accepting new patients

Locations

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448496000000",
    "number": "1891928008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38707 STIVERS ST",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365337",
            "telephone_number": "510-792-0795",
            "fax_number": "510-792-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38707 STIVERS ST",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365337",
            "telephone_number": "510-792-0795",
            "fax_number": "510-792-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "VINCENT",
        "middle_name": "LAVALLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2015-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A98487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ80788Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914763",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.