Cory Ryan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA57192

Practice address

360 E 7TH St Ste D
Upland, CA 91786-6701

Phone

(909) 219-9909

NPI assigned

Sep 9, 2019

Last updated

Apr 2, 2024By the provider in NPPES

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Cory Lynn Physician Assistant Corp

  • Physician Assistant
  • Upland, CA
  • NPI 1689426736
  NPD Authorized official
• Bear Valley Clinica Medica Familiar a Medical Corporation

  • General Practice Physician
  • Victorville, CA
  • NPI 1093355109
  NPD
• F Jimenez Medical Corporation

  dba Upland Medical Center

  • Family Medicine Physician
  • Upland, CA
  • NPI 1023360807
  NPD
• F Jimenez Medical Corporation

  dba Upland Medical Center

  • Family Medicine Physician
  • Upland, CA
  • NPI 1447700034
  NPD
• Bear Valley Clinica Familiar, Inc

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1710135900
  NPD (past)
• Perris Valley Physicians Associates, a Medical Corp.

  dba Perris Valley Clinica Medica Familiar

  • Family Medicine Physician
  • Perris, CA
  • NPI 1154420933
  NPD (past)
• Richard a. Weise, M.D., a Medical Corporation

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1346536109
  NPD (past)

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1447809876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 7TH ST STE D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866701",
            "telephone_number": "909-219-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 7TH ST STE D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866701",
            "telephone_number": "909-219-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 S D St",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925702419",
            "country_code": "US",
            "telephone_number": "951-657-3177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15532 Bear Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "92395",
            "country_code": "US",
            "telephone_number": "760-245-5516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15532 Bear Valley Rd",
            "address_purpose": "LOCATION",
            "city": "victorville",
            "state": "CA",
            "postal_code": "92395",
            "country_code": "US",
            "telephone_number": "760-245-5959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CORY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "PA57192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Araceli Ruvalcaba
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• Sophie Sarah Ruzic, PSYD
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• Rzrrx Inc
• S Gewaid DDS, Professional Dental Corporation
• S M Hammad Rizvi M D Inc
• Saad Pediatrics
• Antoune K Saad, MD

• Physician Assistant in Upland, CA
• Providers in Upland, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.