Active NPI
Ryan Andrew Gall, MD
- Dermatology Physician
- San Diego, CA
National Provider Identifier
1396207387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 159051
- Practice address
- 34800 Bob Wilson Dr
San Diego, CA 92134-1098 - Phone
- (586) 214-2459
- NPI assigned
- Apr 1, 2019
- Reactivated
- May 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 159051 | FL | Primary |
| General Practice Physician | 208D00000X | ME159051 | FL |
Addresses
Primary practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Mailing address
1233 Lincoln Ave
San Diego, CA 92103-2321
Phone (586) 214-2459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159051 | FL | MD | Dermatology Physician |
| ME159051 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1396207387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 LINCOLN AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032321",
"telephone_number": "586-214-2459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341098",
"telephone_number": "586-214-2459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALL",
"first_name": "RYAN",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"deactivation_date": "2019-05-13",
"reactivation_date": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "159051",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME159051",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.