Active NPI
Scott Lawrence Ryan, BVMS
- Emergency Medicine Physician
- San Clemente, CA
National Provider Identifier
1093361925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 240872
- Practice address
- 1833 S El Camino Real
San Clemente, CA 92672-3245 - Phone
- (949) 492-5777
- NPI assigned
- Aug 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 240872 | KY | Primary |
Addresses
Primary practice location
1833 S El Camino Real
San Clemente, CA 92672-3245
Mailing address
9 Elliot LN
Trabuco Canyon, CA 92679-5155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240872 | KY | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1093361925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 ELLIOT LN",
"city": "TRABUCO CANYON",
"state": "CA",
"postal_code": "926795155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1833 S EL CAMINO REAL",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926723245",
"telephone_number": "949-492-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "SCOTT",
"middle_name": "LAWRENCE",
"credential": "BVMS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "240872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.