Ryan O'Donell

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95021048 Issued in CA

Practice address

4132 Katella Ave Ste 200
Los Alamitos, CA 90720-3496

Phone

(562) 312-1777

NPI assigned

Sep 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focused Connections PsychiatryGroup PAC ID 6800307471, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Focused Connections Psychiatry

  • Psychiatry Physician
  • Los Alamitos, CA
  • NPI 1679388086

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Attention Specialists, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Los Alamitos, CA
  • NPI 1174010391
  NPD (past)

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1124679253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203496",
            "telephone_number": "562-312-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203496",
            "telephone_number": "562-312-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONELL",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021048",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Chow, DDS, a Professional Corporation
• Nuhope Mind & Body Wellness
• Peggy Leimomi Nunes, RADT
• Nurture and Heal Marriage & Family Counseling Inc.
• Iweni D Nwengela, PHARMD.
• Amanda O'Neal
• Timothy F. O'Neill, M.D.
• Raymond T. Oca, DC
• Ocean Plastic Surgery Center
• Ocean Radiation Oncology Medical Assoc

• Psychiatric/Mental Health Nurse Practitioner in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.