TIMOTHY RAY PA-C
NPI 1205234606
Physician Assistant - Medical in Brentwood, CA

Active since December 17, 2014PECOS Enrolled
2221 BALFOUR RD, SUITE A, BRENTWOOD, CA 94513(925) 389-7452 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy Ray Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY RAY PA-C (NPI 1205234606) is an individual medical provider in Brentwood, California, licensed in California (52201) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205234606
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTIMOTHY RAYCredential: PA-C
Location Address2221 BALFOUR RD, SUITE ABrentwood, CA 94513-4932
Mailing Address838 Obrien PlDanville, CA 94526-1989 · (925) 389-7452
Sole ProprietorYes
Enumeration DateDecember 17, 2014
NPI 1205234606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 52201
2221 BALFOUR RD, Brentwood, CA 94513

Medicare Participation & PECOS Enrollment Status

Timothy Ray is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for TIMOTHY RAY PA-C

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist
2221 BALFOUR RD, SUITE D
BRENTWOOD, CA 94513
Clinic/Center (Primary Care)
2221 BALFOUR RD, STE D
BRENTWOOD, CA 94513
Nurse Practitioner (Family)
2221 BALFOUR RD
BRENTWOOD, CA 94513
Physician Assistant
2221 BALFOUR RD
BRENTWOOD, CA 94513

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205234606, enumerated as an "individual" on December 17, 2014.

The provider is located at 2221 BALFOUR RD SUITE A BRENTWOOD, CA 94513 and the phone number is (925) 389-7452.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.