Individual provider Active NPI

Paul R. Ryack, MD

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1356375398
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G020915 Issued in CA
Practice address
5333 Hollister Ave
#201
Santa Barbara, CA 93111-2341
Phone
(805) 964-9858
Fax
(805) 964-5935
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G020915 CA Primary

Addresses

Primary practice location

5333 Hollister Ave
#201
Santa Barbara, CA 93111-2341

Mailing address

PO Box 6676
Santa Barbara, CA 93160-6676
Phone (805) 964-9858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G020915CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1356375398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6676",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931606676",
            "telephone_number": "805-964-9858",
            "fax_number": "805-964-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "#201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112341",
            "telephone_number": "805-964-9858",
            "fax_number": "805-964-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYACK",
        "first_name": "PAUL",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G020915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.