Organization Active NPI

Susan M Ryan, DPM

  • Podiatric Clinic/Center
  • Auburn, CA
National Provider Identifier
1124680624
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
SUSAN M RYAN, DPM
Practice address
11795 Education St Ste 230
Auburn, CA 95602-2469
Phone
(530) 368-0218
Fax
(916) 435-6372
NPI assigned
Jul 3, 2019
Last updated
May 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2025

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

Authorized official

Name
Susan Margaret Ryan, DPMNPI 1851582266
Title
President
Phone
(303) 680-2185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

11795 Education St Ste 230
Auburn, CA 95602-2469

Mailing address

6000 Fairway Dr Ste 1
Rocklin, CA 95677-4245
Phone (303) 680-2185

Other practice location 1

6000 Fairway Dr Ste 1
Rocklin, CA 95677-4245
Phone (530) 368-0218

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.sutterhealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006002302 CA Part B Supplier - Clinic/Group Practice 0749688604 Receives reassigned benefits from 2 practitioners
Practice locations: Rocklin, CA

National Provider Directory

National Provider Directory

Locations

3250 Fortune Ct
Auburn, CA 95602
Phone (530) 823-7171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747526400000",
    "number": "1124680624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 FAIRWAY DR STE 1",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774245",
            "telephone_number": "303-680-2185",
            "fax_number": "916-435-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11795 EDUCATION ST STE 230",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022469",
            "telephone_number": "530-368-0218",
            "fax_number": "916-435-6372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Fairway Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "956774245",
            "country_code": "US",
            "telephone_number": "530-368-0218",
            "fax_number": "916-435-6372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUSAN M RYAN, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-680-2185",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sutterhealth.org",
            "affiliation": "N",
            "endpointDescription": "intranet",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11795 Education St Ste 230",
            "city": "Auburn",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956022469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.