TIMOTHY ALBERT BANGAYAN LUI PA-C
NPI 1275018764
Physician Assistant in Sacramento, CA

Active since October 01, 2018PECOS EnrolledAccepts Medicare Assignment
1625 STOCKTON BLVD STE 207, SACRAMENTO, CA 95816(510) 683-9500(877) 880-2039 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Albert Bangayan Lui Pa-c NPPES

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

TIMOTHY ALBERT BANGAYAN LUI PA-C (NPI 1275018764) is an individual physician assistant in Sacramento, California, licensed in California (PA56078) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Valencia, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1275018764
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY ALBERT BANGAYAN LUICredential: PA-C
Location Address1625 STOCKTON BLVD STE 207Sacramento, CA 95816-7092
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Fax(877) 880-2039
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 1, 2018
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
NPI 1275018764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA56078
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1625 STOCKTON BLVD STE 207, Sacramento, CA 95816

Secondary Practice Location 1

Location 125751 McBean Pkwy Ste 305Valencia, CA 91355-3701 · Phone (661) 799-2542 · Fax (661) 253-0248

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy Albert Bangayan Lui Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820338833
PECOS Enrollment IDI20190328001618
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Internal Medicine
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Radiology (Diagnostic Radiology)
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Radiology (Diagnostic Radiology)
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Radiology (Diagnostic Radiology)
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Radiology (Diagnostic Radiology)
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816
Nuclear Medicine
1625 STOCKTON BLVD STE 207
SACRAMENTO, CA 95816

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 Albert Lui's NPI number?

The NPI number for Timothy Albert Lui is 1275018764. It was assigned to this individual provider in the NPPES registry on October 1, 2018.

Where is Timothy Albert Lui located?

Timothy Albert Lui practices at 1625 Stockton Blvd Ste 207, Sacramento, CA 95816. The listed phone number is (510) 683-9500.

What is Timothy Albert Lui's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Albert Lui enrolled in Medicare?

Yes. Timothy Albert Lui is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Timothy Albert Lui was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.