Individual provider Active NPI

Ryan Christopher Goerig, M.D.

  • Dermatology Physician
  • Riverside, CA
National Provider Identifier
1467689513
Registry record updated Jul 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A113581 Issued in CA
Practice address
10800 Magnolia Ave
Riverside, CA 92505-3043
Phone
(805) 607-0999
NPI assigned
Jun 16, 2009
Last updated
Jul 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A113581 CA Primary

Addresses

Primary practice location

10800 Magnolia Ave
Riverside, CA 92505-3043

Mailing address

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (805) 607-0999

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
I20120803000324 CA Practitioner - Dermatology 5799931911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Boston University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24941 Dana Point Harbor Dr
Suite C120
Dana Point, CA 92629-2918
Phone (949) 276-2600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions387
Removal of nail tissue1-10
Skin biopsy142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113581CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Fein MD Inc Dermatology CurrentSince Apr 5, 2021 Accepting new patients
Stephen William Doggett, M.D. PA CurrentSince Nov 29, 2023 Accepting new patients
Vorteil Dermatology and Aesthetic Science, Inc Dermatology CurrentSince Feb 15, 2013 Accepting new patients
Palos Verdes Skin Surgery Ctr Inc Past Accepting new patients
Wav Wellness and Vitality Inc. Past Accepting new patients

Locations

24941 Dana Point Harbor Dr
Ste C120
Dana Point, CA 92629
Phone (949) 276-2600

11525 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 923-6450

5865 E Naples Plz
Long Beach, CA 90803
Phone (310) 541-7800

550 Deep Valley Dr
Ste 283
Rolling Hills Estates, CA 90274
Phone (310) 541-7800

2843 Saint Rose Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 233-4569

653 N Town Center Dr
Ste 512
Las Vegas, NV 89144
Phone (702) 234-2311

1075 Roberta Ln
Sparks, NV 89431
Phone (725) 208-1040

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343433600000",
    "number": "1467689513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053043",
            "telephone_number": "805-607-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053043",
            "telephone_number": "805-607-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERIG",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2012-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A113581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.