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: August 16, 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 CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy Ray Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Ray's NPI number?

The NPI number for Timothy Ray is 1205234606. It was assigned to this individual provider in the NPPES registry on December 17, 2014.

Where is Timothy Ray located?

Timothy Ray practices at 2221 Balfour Rd Suite A, Brentwood, CA 94513. The listed phone number is (925) 389-7452.

What is Timothy Ray's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Timothy Ray enrolled in Medicare?

Yes. Timothy Ray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Ray was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.