Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nicollette Rayray

Individual provider Physician Assistant · NPI 1730681313

Nicollette Rayray is a Physician Assistant in Stockton, California. Qualified in 2025, 1 year ago. Practices with San Francisco Physicians International Medical Group Inc, a 39-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1295 Lloyd Thayer Cir
Stockton, CA 95206-5503
Phone: (209) 915-6669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)
Other Technician Taxonomy 247200000X

Record details

NPI number1730681313
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2018
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice San Francisco Physicians International Medical Group Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at San Francisco Physicians International Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 39 clinicians in the practice; 12 are shown here.

Other providers in Stockton