Gwendolyn Jean Ryan, M.S.

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC000324 Issued in CA

Practice address

207 Santa Anita Street
San Gabriel, CA 91776-1160

Phone

(626) 282-9250

Fax

(626) 282-9953

NPI assigned

Dec 9, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maternal Fetal Medicine Medical Group of Southern California

  • Specialist
  • Sangabriel, CA
  • NPI 1598040784
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1013348580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SANTA ANITA STREET",
            "address_2": "SUITE 338",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761160",
            "telephone_number": "626-282-9250",
            "fax_number": "626-282-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SANTA ANITA STREET",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761160",
            "telephone_number": "626-282-9250",
            "fax_number": "626-282-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "GWENDOLYN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorin Lise Rosental Saporito, LMFT, PPS
• Royal Vista
• Royal Vista Care Center LLC
• Annabel Ruggels
• Francisco Run, M.D.
• S. K. Medical Group Inc.
• S.E.N. Health Station
• Christopher Sabo
• Ryan Saiyasombat
• Ruben A Salgado Dominguez, PMHNP

• Genetic Counselor (M.S.) in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.