Individual provider Active NPI

Ryun W Harper, MD

  • Emergency Medicine Physician
  • Lynwood, CA
National Provider Identifier
1417904400
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A83398 Issued in CA
Practice address
3630 East Imperial Hwy
Lynwood, CA 90262-2678
Phone
(310) 900-8900
NPI assigned
May 27, 2006
Last updated
Dec 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A83398 CA Primary

Addresses

Primary practice location

3630 East Imperial Hwy
Lynwood, CA 90262-2678

Mailing address

PO Box 2705-605
Huntington Beach, CA 92647
Phone (562) 809-3571

Other identifiers 1

IdentifierTypeStateIssuer
00A833980MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001118 CA Practitioner - Emergency Medicine 4981680667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Geffen School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glendale Adventist Emergency Physicians IncorporatedGroup PAC ID 1254563869, 26 clinicians

Practice addresses (Care Compare)

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 863-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.08 of 100Reported as group
Quality
72.14
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83398CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HMH Emergency Medical Group, Inc. Emergency Medicine CurrentSince Jan 22, 2016 Accepting new patients
Glendale Adventist Emergency Physicians Incorporated Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Feb 1, 2015 Accepting new patients
Front Line Emergency Care Spec Emergency Medicine Past Accepting new patients

Locations

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1417904400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705-605",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92647",
            "telephone_number": "562-809-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 EAST IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622678",
            "telephone_number": "310-900-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "RYUN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A83398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A833980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.