Individual provider Active NPI

Caroline Ryan, M.D.

  • Anesthesiology Physician
  • Santa Cruz, CA
National Provider Identifier
1114084209
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A111475 Issued in CA
Practice address
1555 Soquel Dr
Santa Cruz, CA 95065-1705
Phone
(831) 462-7562
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A111475 CA Primary
Anesthesiology Physician 207L00000X 125052584 IL

Addresses

Primary practice location

1555 Soquel Dr
Santa Cruz, CA 95065-1705

Mailing address

1555 Soquel Dr
Santa Cruz, CA 95065-1705
Phone (831) 462-7562

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
I20140710002465 CA Practitioner - Anesthesiology 7618127069 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress Coast Anesthesia Medical Group IncGroup PAC ID 6901852193, 24 clinicians

Practice addresses (Care Compare)

450 E Romie LN
Salinas, CA 93901-4029
Phone (831) 755-0732

Hospital & facility affiliations

  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111475CAMDAnesthesiology Physician
125052584ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Monterey County Memorial Hospital CurrentSince Jan 20, 2018 Accepting new patients
Anesthesia Medical Group of Santa Cruz, Inc. Anesthesiology CurrentSince Jan 1, 2016 Accepting new patients
Monterey Anesthesia Professionals Anesthesiology CurrentSince Jun 27, 2016 Accepting new patients
Cypress Coast Anesthesia Medical Group, Inc. Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Ventana Anesthesia Associates Inc Anesthesiology CurrentSince Jun 1, 2017 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Jan 20, 2018 Accepting new patients
Advocate North Side Health Network Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2265 41st Ave
Capitola, CA 95010
Phone (831) 262-2252

160 Green Valley Rd
Freedom, CA 95019
Phone (831) 763-9700

210 Canal St
King City, CA 93930
Phone (931) 385-7100

300 Canal St
King City, CA 93930
Phone (831) 385-6000

2 Upper Ragsdale Dr
Ste B160
Monterey, CA 93940
Phone (831) 333-4000

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

966 Cass St
Ste 150
Monterey, CA 93940
Phone (831) 649-1126

665 Munras Ave
Ste 100
Monterey, CA 93940
Phone (831) 375-2486

23 Upper Ragsdale Dr
Monterey, CA 93940

622 Abbott St
Ste A
Salinas, CA 93901
Phone (831) 771-3999

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

955 Blanco Cir
Ste A
Salinas, CA 93901
Phone (831) 753-5800

1117 Los Palos Dr
Salinas, CA 93901
Phone (831) 422-5240

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

Interoperability endpoints

  • Direct secure messaging: cryan20229@direct.svmh.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

Organizations & group practices 8

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1114084209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOQUEL DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651705",
            "telephone_number": "831-462-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOQUEL DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651705",
            "telephone_number": "831-462-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A111475",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125052584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.