Ryan Vandergriff, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

RPE13632 Issued in CA

Practice address

9606 Tierra Grande St Ste 107
San Diego, CA 92126-6501

Phone

(858) 695-9415

Fax

(858) 695-9412

NPI assigned

Oct 29, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1326682766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 TIERRA GRANDE ST STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266501",
            "telephone_number": "858-695-9415",
            "fax_number": "858-695-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 TIERRA GRANDE ST STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266501",
            "telephone_number": "858-695-9415",
            "fax_number": "858-695-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGRIFF",
        "first_name": "RYAN",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE13632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Matthew Vander Schuur, M.D.
• Kathryn Vander Voort Wilson
• Robert Troy Vander Zwart, MFT
• Vicki Jo Vander Zwart, MFT
• Abigail Lynn Vandergriff, CNM
• Gabrielle Analise Vanderham
• Gage Elizabeth Vandermeer, RN
• Marylyn O Vandermoer, MFT
• Kenneth Ray Vanderveen
• Rebecca Vandervolgen, M.S., CCC-SLP

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.