Organization Active NPI

Sean Ryan, M.D., a Professional Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Jolla, CA
National Provider Identifier
1023758455
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SEAN RYAN, M.D., A PROFESSIONAL CORPORATION
Practice address
9404 Genesee Ave Ste 335
La Jolla, CA 92037-1355
Phone
(858) 622-0622
Fax
(949) 587-1142
NPI assigned
Apr 1, 2022
Last updated
Apr 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Dr. Sean Michael Ryan, MDNPI 1821031261
Title
Owner/President
Phone
(858) 622-0622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9404 Genesee Ave Ste 335
La Jolla, CA 92037-1355

Mailing address

9404 Genesee Ave Ste 335
La Jolla, CA 92037-1355
Phone (858) 622-0622

National Provider Directory

National Provider Directory

Locations

9404 Genesee Ave
Ste 335
La Jolla, CA 92037
Phone (858) 344-9456

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1023758455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 GENESEE AVE STE 335",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371355",
            "telephone_number": "858-622-0622",
            "fax_number": "949-587-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 GENESEE AVE STE 335",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371355",
            "telephone_number": "858-622-0622",
            "fax_number": "949-587-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN RYAN, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-622-0622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.