Individual provider Active NPI

Ryan Buchmann, MA, MFT, CADC-II

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1063639102
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 50774 Issued in CA
Practice address
325 W Washington St Ste 2-204
San Diego, CA 92103-1946
Phone
(760) 566-8760
Fax
(760) 820-2461
NPI assigned
Apr 19, 2007
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A019280715 CA
Marriage & Family Therapist 106H00000X MFC 50774 CA Primary

Addresses

Primary practice location

325 W Washington St Ste 2-204
San Diego, CA 92103-1946

Mailing address

325 W Washington St Ste 2-204
San Diego, CA 92103-1946
Phone (760) 566-8760

Other identifiers 1

IdentifierTypeStateIssuer
7560841MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A019280715CAMDAddiction (Substance Use Disorder) Counselor
MFC 50774CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Counselingwerks a Marriage & Family Therapy Corporation CurrentSince Jul 1, 2021 Accepting new patients

Locations

325 W Washington St
Ste 2204
San Diego, CA 92103
Phone (760) 566-8760

330 Rancheros Dr
Ste 222
San Marcos, CA 92069
Phone (760) 290-3178

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1063639102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W WASHINGTON ST STE 2-204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031946",
            "telephone_number": "760-566-8760",
            "fax_number": "760-820-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W WASHINGTON ST STE 2-204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031946",
            "telephone_number": "760-566-8760",
            "fax_number": "760-820-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHMANN",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "MA, MFT, CADC-II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-04-04",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A019280715",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 50774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7560841",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.