Individual provider Active NPI

Ryan Bennett, RADT 1

  • Community Health Worker
  • Vista, CA
National Provider Identifier
1154963783
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
993 Postal Way
Vista, CA 92083-6945
Phone
(760) 630-9922
NPI assigned
Oct 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X
Community Health Worker 172V00000X CA Primary

Addresses

Primary practice location

993 Postal Way
Vista, CA 92083-6945

Mailing address

1330 Arnold Dr Ste 140
Martinez, CA 94553-6538

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryan.bennett@alphaproject.org Alpha Project for the Homeless

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Project for the Homeless PastSince Oct 20, 2019 Accepting new patients
Alpha Project for the Homeless PastSince Oct 20, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1154963783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 ARNOLD DR STE 140",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 POSTAL WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836945",
            "telephone_number": "760-630-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "RYAN",
        "credential": "RADT 1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.bennett@alphaproject.org",
            "affiliation": "Y",
            "affiliationName": "Alpha Project for the Homeless",
            "address_1": "993 Postal Way",
            "city": "Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920836945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.