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MR. ROBERT RAY WITTY PA-C
NPI 1548326028
Physician Assistant in Moreno Valley, CA

Active since December 28, 2006PECOS Enrolled
12810 HEACOCK ST, SUITE B-206, MORENO VALLEY, CA 92553(951) 485-5155(951) 485-5152 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Robert Ray Witty Pa-c NPPES

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

MR. ROBERT RAY WITTY PA-C (NPI 1548326028) is an individual physician assistant in Moreno Valley, California, licensed in California (PA 12064) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548326028
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ROBERT RAY WITTYCredential: PA-C
Location Address12810 HEACOCK ST, SUITE B-206Moreno Valley, CA 92553-2854
Mailing Address25634 San Thomas StMoreno Valley, CA 92557-5845 · (951) 924-8121 · Fax (951) 243-7787
Phone(951) 485-5155
Fax(951) 485-5152
Sole ProprietorYes
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548326028 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 · PA 12064
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.
12810 HEACOCK ST, Moreno Valley, CA 92553
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Other Identifiers 1

Medicare UPINQ 05231CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert Ray Witty 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92553 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers21 claims95 services$5.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims21 services$0.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

ROBERT THOMAS SILVOLA DDS
Dentist (General Practice)
12810 HEACOCK ST, STE B103
MORENO VALLEY, CA 92553
Riverside County (951) 242-3441
DR. GEORGE A PONCE SR. M.D.
Internal Medicine (Cardiovascular Disease)
12810 HEACOCK ST, SUITE B201
MORENO VALLEY, CA 92553
Riverside County (951) 601-2363
DR. ARMANDO L. FRANCO M.D.
Family Medicine
12810 HEACOCK ST, SUITE B-206
MORENO VALLEY, CA 92553
Riverside County (951) 485-5155
CHRISTOPHER ADAM GODINA
Marriage & Family Therapist
12810 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 247-6542
CARDIOVASCULAR CONSULTANTS OF THE INLAND VALLEY
Internal Medicine (Cardiovascular Disease)
12810 HEACOCK ST, SUITE B201
MORENO VALLEY, CA 92553
Riverside County (951) 601-2363
MS. ANNA MARIA WILSON MSN, ACNP
Nurse Practitioner (Acute Care)
12810 HEACOCK ST, SUITE B201
MORENO VALLEY, CA 92553
Riverside County (951) 601-2363
SPECTRUM CLINICAL RESEARCH INSTITUTE INC
Specialist (Research Study)
12810 HEACOCK ST, SUITE B210
MORENO VALLEY, CA 92553
Riverside County (951) 601-2363
DR. CLINTON KING WONG O.D.
Optometrist
12810 HEACOCK ST, SUITE B104
MORENO VALLEY, CA 92553
Riverside County (951) 924-2020

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 Robert Witty's NPI number?

The NPI number for Robert Witty is 1548326028. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Robert Witty located?

Robert Witty practices at 12810 Heacock St Suite B-206, Moreno Valley, CA 92553. The listed phone number is (951) 485-5155.

What is Robert Witty's specialty?

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

Is Robert Witty enrolled in Medicare?

Yes. Robert Witty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Witty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.