Individual ProviderTapati RayAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address2288 Auburn Blvd., Sacramento, CA 95821-1618(916) 929-7229(209) 956-7725PECOS EnrollmentBased on the most recent information from CMS, provider Tapati Ray is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1891762373Provider TypeIndividualFull NameRay, TapatiTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date3/3/2006Last Updated6/6/2016Contact InformationPractice LocationPractice Address2288 Auburn Blvd., Sacramento, CA 95821-1618Phone(916) 929-7229Fax(209) 669-2377Mailing LocationMailing AddressPO Box 7096, Stockton, CA 95267-0096Phone(209) 956-7725Fax(209) 956-7733Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseC51773CaliforniaCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense12385Mississippi