Serra Eugenie Park Ryu, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5166 Issued in CA

Practice address

300 N Euclid St
Suite a
Fullerton, CA 92832-1623

Phone

(714) 888-6860

NPI assigned

Mar 29, 2010

Last updated

May 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: sryu@ocfa.mdlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orange County Foot and Ankle Group, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Fullerton, CA
  • NPI 1639102833
  Medicare reassignment
• Orange County Foot & Ankle Group, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Tustin, CA
  • NPI 1396929774
  NPD (past)

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1174848568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N EUCLID ST STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321623",
            "telephone_number": "714-888-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N EUCLID ST",
            "address_2": "SUITE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321623",
            "telephone_number": "714-888-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYU",
        "first_name": "SERRA",
        "middle_name": "EUGENIE PARK",
        "name_prefix": "Ms.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Ryan, D.D.S.
• Sue Kyung Ryo
• Ryoo Dental, Inc
• Victor K Ryoo, D.D.S.
• Cathy Ryu, PT, DPT
• S.H. Lee Dental Corp (Eco Dental)
• Saadah Alrajab MD MPH Inc
• Rachelle Erin Saavedra
• Saba Haq Above Medical PC
• Esfandiar Jason Sabet-Peyman, M.D.

• Podiatrist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.