MR. ROBERT RAY WITTY (NPI# 1548326028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548326028 |
| Entity Type | Individual |
| Full Name | MR. ROBERT RAY WITTY |
| Credential | PA-C |
| Practice Address |
12810 Heacock St Suite B-206 Moreno Valley CA 92553-2854 |
| Mailing Address |
25634 San Thomas St Moreno Valley CA 92557-5845 |
| Practice Telephone | 9514855155 |
| Practice Fax Number | 9514855152 |
| Mailing Telephone | 9519248121 |
| Mailing Fax Number | 9512437787 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 12064 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12810 HEACOCK ST SUITE B-206 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295765428 | Cardiovascular Consultants of The Inland Valley | Internal Medicine | 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 | 2006-07-04 |
| 1629415120 | Armando Franco Md Inc | Family Medicine | 12810 Heacock St, Suite B206, Moreno Valley, CA 92553-3170 | 2013-05-24 |
| 1326315573 | Spectrum Clinical Research Institute Inc | Specialist | 12810 Heacock St, Suite B210, Moreno Valley, CA 92553-2854 | 2011-11-16 |
| 1619003944 | Clinton King Wong | Optometrist | 12810 Heacock St, Suite B104, Moreno Valley, CA 92553-2854 | 2007-02-23 |
| 1073662235 | Robert Thomas Silvola | Dentist | 12810 Heacock St, Ste B103, Moreno Valley, CA 92553-3171 | 2007-01-09 |
| 1215096409 | Armando L. Franco | Family Medicine | 12810 Heacock St, Suite B-206, Moreno Valley, CA 92553-2854 | 2006-12-06 |
| 1326073263 | Anna Maria Wilson | Nurse Practitioner | 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 | 2006-07-11 |
| 1174554935 | George A Ponce Sr. | Internal Medicine | 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747294 | Brittany Stewart | Physician Assistant | 12797 Frederick St Apt 202, Moreno Valley, CA 92553-4512 | 2020-10-13 |
| 1124676168 | Fareeha Sial | Physician Assistant | 13524 Baneberry St, Moreno Valley, CA 92553-4822 | 2019-09-03 |
| 1003120676 | Isha Saeeda Taylor | Physician Assistant | 27480 Aromatic Ct, Moreno Valley, CA 92555-4760 | 2010-08-05 |
| 1316909757 | Michael Villaverde Villanueva | Physician Assistant | 13050 Heacock St, Moreno Valley, CA 92553-3122 | 2006-04-03 |
| 1427658376 | Raeanne Clemens Grabowski | Physician Assistant | 14114 Business Center Dr Ste A, Moreno Valley, CA 92553-9113 | 2020-10-29 |
| 1942816392 | Sheron Mathew | Physician Assistant | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-09-21 |
| 1669086237 | Brittany Noel Speer | Physician Assistant | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-09-01 |
| 1528694130 | Lauren Friar | Physician Assistant | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-03-14 |
| 1861033177 | David Denton | Physician Assistant | 27640 Eucalyptus Ave, Moreno Valley, CA 92555-4557 | 2019-10-08 |
| 1639729247 | Skylar Kristine Ryan | Physician Assistant | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2019-09-16 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on MR. ROBERT RAY WITTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.