PREMA RAY MPH, MSN, PMHNP
NPI 1265264725
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
About Prema Ray Mph, Msn, Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMA RAY MPH, MSN, PMHNP (NPI 1265264725) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95032360) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prema Ray Mph, Msn, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Prema Ray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Prema Ray's NPI number?
The NPI number for Prema Ray is 1265264725. It was assigned to this individual provider in the NPPES registry on August 14, 2024.
Where is Prema Ray located?
Prema Ray practices at 8405 Beverly Blvd, Los Angeles, CA 90048. The listed phone number is (323) 653-1990.
What is Prema Ray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Prema Ray enrolled in Medicare?
Yes. Prema Ray is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Prema Ray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prema Ray reassigns Medicare benefits to The Los Angeles Free Clinic (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prema Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Prema Ray was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Prema Ray, MPH, MSN, PMHNP · NPI 1265264725
Psychiatric/Mental Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 14, 2024.
## Identity
- **NPI:** 1265264725 (Entity type: Individual)
- **Enumerated:** August 14, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95032360 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8405 BEVERLY BLVD, Los Angeles, CA 90048-3401
- **Phone:** (323) 653-1990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Los Angeles Free Clinic (NPI 1194893248, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Columbia School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** December 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265264725) · Data from the CMS NPPES public registry.