Active NPI
Ryan Nolan, M.D.
- Surgery Physician
- Watsonville, CA
National Provider Identifier
1265832950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A161287
- Practice address
- 65 Neilson St Ste 125
Watsonville, CA 95076-2491 - Phone
- (831) 768-6266
- Fax
- (831) 768-6219
- NPI assigned
- Aug 29, 2014
- Last updated
- Feb 24, 2021
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A161287 | CA | Primary |
Addresses
Primary practice location
65 Neilson St Ste 125
Watsonville, CA 95076-2491
Mailing address
65 Neilson St Ste 102
Watsonville, CA 95076-2491
Phone (831) 768-6266
Other practice location 1
3 Cooper Plz Rm 411
Camden, NJ 08103-1438
Phone (856) 342-2000 ext. 3010
Other practice location 2
365 Hawthorne Ave Ste 101
Oakland, CA 94609
Phone (510) 465-5523
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Southern California Keck School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
65 Nielson St
Suite 125
Watsonville, CA 95076-2491
Phone (831) 768-6266
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.92 of 100
- Quality
- 76.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.32
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 81.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 121 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pajaro Valley Health Care District | Surgery | Current | Accepting new patients |
| Coastal Health Partners | Surgery | Current | Accepting new patients |
Locations
65 Nielson St
Ste 102
Watsonville, CA 95076
Phone (831) 763-6487
65 Nielson St
Ste 125
Watsonville, CA 95076
Phone (831) 768-6266
Interoperability endpoints
- https://api.platform.athenahealth.com/7346/brand/1/csg/1/fhir/r4
- rnolan@yourcarecommunity.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coastal Healthcare
- Cardiovascular Disease Physician
- Watsonville, CA
- NPI 1285346809
Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Watsonville Community Hospital
- General Acute Care Hospital
- Watsonville, CA
- NPI 1619607488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1265832950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 NEILSON ST STE 102",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950762491",
"telephone_number": "831-768-6266",
"fax_number": "831-768-6219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 NEILSON ST STE 125",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950762491",
"telephone_number": "831-768-6266",
"fax_number": "831-768-6219"
}
],
"practiceLocations": [
{
"address_1": "3 Cooper Plz Rm 411",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081031438",
"country_code": "US",
"telephone_number": "856-342-2000 x3010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "365 Hawthorne Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "94609",
"country_code": "US",
"telephone_number": "510-465-5523",
"fax_number": "510-832-6061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLAN",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-29",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A161287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.