Individual provider Active NPI

Ryan Michael Glynn, MD

  • Neurological Surgery Physician
  • San Diego, CA
National Provider Identifier
1093202129
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A200673 Issued in CA
Practice address
6190 Cornerstone CT E Ste 212
San Diego, CA 92121-4701
Phone
(858) 246-6305
Fax
(833) 660-7845
NPI assigned
Apr 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A200673 CA Primary

Addresses

Primary practice location

6190 Cornerstone CT E Ste 212
San Diego, CA 92121-4701

Mailing address

6190 Cornerstone CT E Ste 212
San Diego, CA 92121-4701
Phone (858) 246-6305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620003041 CA Practitioner - Neurosurgery 6901158518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6190 Cornerstone E CT
Suite 212
San Diego, CA 92121-4701
Phone (858) 246-6305

Hospital & facility affiliations

  • Scripps Green Hospital Hospital, La Jolla, CA, CCN 050424
  • Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion211
Laminectomy or laminotomy (partial removal of spine bones)103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A200673CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Center for Spinal Disorders Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

6190 Cornerstone Ct E
Ste 21
San Diego, CA 92121
Phone (858) 246-6305

6190 Cornerstone Ct E
Ste 212
San Diego, CA 92121
Phone (619) 500-5554

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1093202129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 CORNERSTONE CT E STE 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214701",
            "telephone_number": "858-246-6305",
            "fax_number": "833-660-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 CORNERSTONE CT E STE 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214701",
            "telephone_number": "858-246-6305",
            "fax_number": "833-660-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-14",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A200673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.