Ryan'S Way

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

090000644 Issued in CA

Legal business name

RYAN'S WAY

Practice address

3453 Aveley PL
San Diego, CA 92111-4727

Phone

(858) 541-2632

Fax

(858) 541-2663

NPI assigned

Nov 30, 2009

Organization subpart

No

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

Authorized official

Name

Jamie O'Connor Florez

Title

Ceo

Phone

(619) 852-3811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1255669404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212678",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919212678",
            "telephone_number": "619-852-3811",
            "fax_number": "619-216-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 AVELEY PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114727",
            "telephone_number": "858-541-2632",
            "fax_number": "858-541-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN'S WAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "FLOREZ",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "O'CONNOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-852-3811"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "090000644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia (Patti) Jean Ryan, AOD 7168
• Patrick James Ryan, DO
• Rebecca Marie Ryan, PA-C
• Rhiannon Christine Ryan
• Shannon Ryan
• Mia Ryans
• Bryan Edward Ryba
• Melissa Beth Ryberg
• Brittany Ryburn
• Derek Colburn Rycewicz, MD

• Intellectual Disabilities Intermediate Care Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.