Active NPI
Ryan Bacco
- Other Technician
- Cool, CA
National Provider Identifier
1194683680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 4009 Bird View CT
Cool, CA 95614-9455 - Phone
- (916) 784-4000
- NPI assigned
- Jan 13, 2026
- Last updated
- Jan 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | Primary |
Addresses
Primary practice location
4009 Bird View CT
Cool, CA 95614-9455
Mailing address
4009 Bird View CT
Cool, CA 95614-9455
Phone (916) 784-4000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1194683680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 BIRD VIEW CT",
"city": "COOL",
"state": "CA",
"postal_code": "956149455",
"telephone_number": "916-784-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 BIRD VIEW CT",
"city": "COOL",
"state": "CA",
"postal_code": "956149455",
"telephone_number": "916-784-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACCO",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-13",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cool, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.