Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ray Burton Bloss III, PA-C

Individual provider Physician Assistant · NPI 1174733265

Mr. Ray Burton Bloss III, PA-C is a Physician Assistant in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

222 W Eulalia St Ste #101
Glendale, CA 91204-2849
Phone: (818) 246-4800
Fax: (818) 246-4805
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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 PA18262 (CA)

Record details

NPI number1174733265
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007

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