MRS. AMY GOODFELLOW WRAY PA-C
NPI 1396762076
Physician Assistant in San Diego, CA

Q: What is Amy Wray's NPI number?

The NPI number for Amy Wray is 1396762076. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Amy Wray's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Wray was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Amy Goodfellow Wray Pa-c NPPES

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

MRS. AMY GOODFELLOW WRAY PA-C (NPI 1396762076) is an individual physician assistant in San Diego, California, licensed in California (PA17578) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1396762076

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. AMY GOODFELLOW WRAYCredential: PA-C

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 17, 2006

Last NPPES UpdateMay 14, 2025

NPPES CertifiedMay 7, 2025

✔ NPI 1396762076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA17578

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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License PA17578 (CA)

200 W ARBOR DR, San Diego, CA 92103

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Secondary Practice Locations 8

Location 15555 Grossmont Center DrLA Mesa, CA 91942-3019 · Phone (619) 644-3030 · Fax (619) 644-3638

Location 2910 Sycamore Ave Ste 270Vista, CA 92081-7852 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 316950 Via TazonSan Diego, CA 92127-1607 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 43855 Health Sciences DrLA Jolla, CA 92093-3019 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 54250 1st AveSan Diego, CA 92103 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 61505 Encinitas BlvdEncinitas, CA 92024-2933 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 71200 Garden View RdEncinitas, CA 92024-2477 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 89400 Campus Point DrLA Jolla, CA 92093-3019 · Phone (800) 926-8273 · Fax (888) 539-8781

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

Mrs. Amy Goodfellow Wray 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 ID9638170632

PECOS Enrollment IDI20070117000440

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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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.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)