Active NPI
Ryan Elliott
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1477318509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A204376
- Practice address
- 200 W. Arbor Dr
San Diego, CA 92103-8829 - Phone
- (619) 543-8254
- NPI assigned
- Feb 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A204376 | CA | Primary |
Addresses
Primary practice location
200 W. Arbor Dr
San Diego, CA 92103-8829
Mailing address
200 W. Arbor Drive
San Diego, CA 92103-8829
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of California, Geffen School of Medicine, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1202 Morena Blvd
Suite 100
San Diego, CA 92110-3841
1202 Morena Blvd
Suite 100
San Diego, CA 92110-3842
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A204376 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- relliot54848@syhealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772841600000",
"number": "1477318509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W. ARBOR DRIVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921038829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W. ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921038829",
"telephone_number": "619-543-8254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "RYAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-19",
"last_updated": "2026-03-07",
"certification_date": "2026-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A204376",
"primary": true
}
],
"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 7, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.