Lorraine Reverson Ray (NPI# 1295179620, PAC ID# 3577875830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1295179620 |
| PAC ID by PECOS | 3577875830 |
| Professional Enrollment ID | I20170823003405 |
| Full Name | Lorraine Reverson Ray |
| Organization Legal Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Address |
11441 Heacock St Suite C Moreno Valley CA 92557-7907 |
| Phone Number | 9512475809 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153227814 |
| Number of Group Practice Members | 912 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050327 | LOMA LINDA UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11441 Heacock St, Suite C, Moreno Valley, CA 92557-7907 | 9512475809 | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Organization Legal Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Physicians | 1002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ecler E Jaqua | Family Medicine | Faculty Physicians and Surgeons of Llusm | 25828 Redlands Blvd, Suite 102, Redlands, CA 92373-8450 |
| Mauna-loa Rodgers-blankenship | Nurse Practitioner | Faculty Physicians and Surgeons of Llusm | 81 S Highland Springs Ave, Beaumont, CA 92223-3170 |
| Davin Chu | Physical Medicine and Rehabilitation | Faculty Physicians and Surgeons of Llusm | 11406 Loma Linda Dr, Suite 300, Loma Linda, CA 92354-3711 |
| Ramachandran Pillai Promod Kumar | Neurosurgery | Faculty Physicians and Surgeons of Llusm | 16041 Kamana Rd A, Apple Valley, CA 92307-1331 |
| Biswas Joshi | Pulmonary Disease | Faculty Physicians and Surgeons of Llusm | 250 E Caroline St, Suite J, San Bernardino, CA 92408-3758 |
| Alexandra J Bandy | Nurse Practitioner | Faculty Physicians and Surgeons of Llusm | 11370 Anderson St, B100, Loma Linda, CA 92354-3400 |
| Brian R Hu | Urology | Faculty Physicians and Surgeons of Llusm | 11234 Anderson St, Loma Linda, CA 92354-2804 |
| Brian Wolk | Emergency Medicine | Faculty Physicians and Surgeons of Llusm | 328 Commercial Rd, Suite 101, San Bernardino, CA 92408-3766 |
| Ronald Bruce Johnson | Obstetrics/gynecology | Faculty Physicians and Surgeons of Llusm | 2195 Club Ctr Dr, Suite A, San Bernardino, CA 92408-4162 |
| Alexandra M Clark | Pediatric Medicine | Faculty Physicians and Surgeons of Llusm | 25845 Barton Rd F, Loma Linda, CA 92354-3899 |
| Street Address |
11441 HEACOCK ST SUITE C |
| City | MORENO VALLEY |
| State | CA |
| Zip | 92557-7907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francis D Chan | Internal Medicine | Faculty Physicians and Surgeons of Llusm | 11441 Heacock St, Suite C, Moreno Valley, CA 92557-7907 |
| Merrick R Lopez | Critical Care (intensivists) | Faculty Physicians and Surgeons of Llusm | 11441 Heacock St, Suite C, Moreno Valley, CA 92557-7907 |
| Dong Kim | Internal Medicine | 11441 Heacock St, Suite F, Moreno Valley, CA 92557-7907 | |
| Michelle H L Loh | Pediatric Medicine | Faculty Physicians and Surgeons of Llusm | 11441 Heacock St, Moreno Valley, CA 92557-7907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Harrison | General Practice | 24318 Hemlock Ave, Suite E1, Moreno Valley, CA 92557-7225 | |
| Harry Karna | Oral Surgery | 12264 Perris Blvd, Moreno Valley, CA 92557-7418 | |
| Ronald Norman Kent | Neurology | 11481 Heacock St, Suite 120, Moreno Valley, CA 92557-7906 |
| City | MORENO VALLEY |
| Zip Code | 92557 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | MORENO VALLEY + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Lorraine Reverson Ray.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.