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

Michael Thaddeaus Rayfield, BSPA-C

Individual provider Physician Assistant · NPI 1871633826

Michael Thaddeaus Rayfield, BSPA-C is a Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

12021 S Wilmington Ave
Los Angeles, CA 90059
Phone: (951) 847-0356
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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 13178 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 13178 (CA)

Record details

NPI number1871633826
Entity typeIndividual (Type 1)
GenderMale
Credentials BSPA-C
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESSeptember 11, 2025

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