Individual provider Active NPI

Ryan Patrick Salt, PA-C

  • Physician Assistant
  • Eastvale, CA
National Provider Identifier
1225857394
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65267 Issued in CA
Practice address
7314 Westerly Way
Eastvale, CA 92880-9089
Phone
(209) 533-9600
Fax
(209) 533-9608
NPI assigned
Oct 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10736 AZ
Physician Assistant 363A00000X PA65267 CA Primary

Addresses

Primary practice location

7314 Westerly Way
Eastvale, CA 92880-9089

Mailing address

7314 Westerly Way
Eastvale, CA 92880-9089
Phone (714) 262-6438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113001005 TX Practitioner - Physician Assistant 9133657661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10736AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
M a C T Health Board Incorporated CurrentSince Jan 13, 2025 Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients

Locations

305 Preston Ave
Ione, CA 95640
Phone (209) 274-2183

12140 New York Ranch Rd
Jackson, CA 95642
Phone (209) 257-2400

75 Diamond Valley Rd
Unit B
Markleeville, CA 96120
Phone (530) 694-2146

905 Morning Star Dr
Sonora, CA 95370
Phone (209) 206-3936

940 Sylva Ln
Ste A
Sonora, CA 95370
Phone (209) 288-6502

13975 Mono Way
Ste G
Sonora, CA 95370
Phone (209) 288-6502

Interoperability endpoints

  • Direct secure messaging: ryan.salt.p1@direct.macthealth.nextgenshare.com

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": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1225857394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7314 WESTERLY WAY",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809089",
            "telephone_number": "714-262-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7314 WESTERLY WAY",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809089",
            "telephone_number": "209-533-9600",
            "fax_number": "209-533-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALT",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-07",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "PA10736",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

Verify at the official NPI Registry.