Ryan's Reach

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

306004769 Issued in CA

Legal business name

RYAN'S REACH

Practice address

1321 Lear LN
Tustin, CA 92780-4546

Phone

(714) 396-7678

NPI assigned

Nov 22, 2015

Last updated

Nov 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Michaelis

Title

President

Phone

(714) 396-7678

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448150400000",
    "number": "1063886448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 AUGUSTA",
            "city": "COTO DE CAZA",
            "state": "CA",
            "postal_code": "926794829",
            "telephone_number": "714-396-7678",
            "fax_number": "949-589-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 LEAR LN",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804546",
            "telephone_number": "714-396-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN'S REACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-22",
        "last_updated": "2015-11-22",
        "status": "A",
        "authorized_official_last_name": "MICHAELIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-396-7678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CA",
            "license": "306004769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Tustin, CA
• Providers in Tustin, CA by specialty
• Custodial Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2015; 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.