MRS. CAMILLE LAUREN BRAY (PA-C) – Physician Assistant, NPI 1053924696

MRS. CAMILLE LAUREN BRAY (PA-C) is a healthcare provider. based in Newport beach, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MRS. CAMILLE LAUREN BRAY (PA-C) is 1053924696

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CAMILLE LAUREN BRAY (PA-C)
NPI
1053924696
Phone
(949) 722-7038
Address
22 CORPORATE PLAZA DR
Enumeration Date
24 August 2020
Last Update Date
24 August 2020

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
9335550359
Group Practice PAC ID
4688826688
Professional Enrollment ID
I20201124001230
Address ID
CA926607985Ne22XXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MRS. CAMILLE LAUREN BRAY (PA-C)

  • 22 CORPORATE PLAZA DR

    NEWPORT BEACH, CA 926607985

    Phone: (949) 722-7038

    Fax: (949) 432-3354

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201124001230IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2622$0
20610Aspiration and/or injection of fluid from large joint2012$0
View full utilization report →

Insurance plans in this area (ZIP 92660)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688826688View full group profile
NameSpecialtyState
Sports Medicine, Internal MedicineCA
Physician AssistantAZ
Orthopedic SurgeryCA
Orthopedic SurgeryCA
-CA
Nurse PractitionerCA
Physician AssistantCA
Orthopedic Surgery, Hand SurgeryCA
Orthopedic SurgeryCA
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What is the standard ID for MRS. CAMILLE LAUREN BRAY (PA-C) in the U.S.?
In the U.S., MRS. CAMILLE LAUREN BRAY (PA-C) is identified by NPI 1053924696.
Is MRS. CAMILLE LAUREN BRAY (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MRS. CAMILLE LAUREN BRAY (PA-C) as active.
What services align with MRS. CAMILLE LAUREN BRAY (PA-C)'s listing?
MRS. CAMILLE LAUREN BRAY (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. CAMILLE LAUREN BRAY (PA-C) in Newport Beach, California?
For routing, start with Newport Beach, California for MRS. CAMILLE LAUREN BRAY (PA-C), then verify phone and hours locally.
Can I export MRS. CAMILLE LAUREN BRAY (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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