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

Mr. Robert Ray Witty, PA-C

Individual provider Physician Assistant · NPI 1548326028

Mr. Robert Ray Witty, PA-C is a Physician Assistant in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

12810 Heacock St Ste B-206
Moreno Valley, CA 92553-2854
Phone: (951) 485-5155
Fax: (951) 485-5152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 12064 (CA)

Record details

NPI number1548326028
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address25634 San Thomas St, Moreno Valley, CA 92557-5845

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