Active NPI
Ryan W Rebbe, MD
- Neuropathology Physician
- Los Angeles, CA
National Provider Identifier
1215490859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuropathology Physician
- License
- A195356
- Practice address
- 1100 N. State Street
Clinic Tower A7D
Los Angeles, CA 90033 - Phone
- (323) 409-6931
- NPI assigned
- Apr 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pathology Physician | 207ZP0213X | DR.0078328 | CO | |
| Neuropathology Physician | 207ZN0500X | A195356 | CA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A195356 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | DR.0078328 | CO | |
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | A195356 | CA |
Addresses
Primary practice location
1100 N. State Street
Clinic Tower A7D
Los Angeles, CA 90033
Mailing address
1100 N State St
Los Angeles, CA 90033-5000
Phone (323) 409-6931
Other practice location 1
12605 E 16th Ave
Aurora, CO 80045-2520
Phone (720) 848-0000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A195356 | CA | MD | Neuropathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1215490859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N STATE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335000",
"telephone_number": "323-409-6931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N. STATE STREET",
"address_2": "CLINIC TOWER A7D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-409-6931"
}
],
"practiceLocations": [
{
"address_1": "12605 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452520",
"country_code": "US",
"telephone_number": "720-848-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REBBE",
"first_name": "RYAN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "CO",
"license": "DR.0078328",
"primary": false
},
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "CA",
"license": "A195356",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A195356",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CO",
"license": "DR.0078328",
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "CA",
"license": "A195356",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.