Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chantilay Ruffin

Individual provider Physician Assistant · NPI 1114488814

Chantilay Ruffin is a Physician Assistant in San Rafael, California. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

50 Acacia Ave Meadowlands 302
San Rafael, CA 94901-2230
Phone: (415) 482-3571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA57673 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1114488814
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 26, 2019
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024
Mailing address61 Bissell Way, Richmond, CA 94801-3101

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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