Active NPI
Ryan Mitchell Linder, NP
- Family Nurse Practitioner
- Cypress, CA
National Provider Identifier
1477833259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN107795
- Practice address
- 5757 Plaza Dr
Cypress, CA 90630-5000 - Phone
- (602) 570-6472
- NPI assigned
- Aug 24, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN107795 | AZ | Primary |
Addresses
Primary practice location
5757 Plaza Dr
Cypress, CA 90630-5000
Mailing address
5757 Plaza Dr
Cypress, CA 90630-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ryan.linder@optum.com | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN107795 | AZ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1477833259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 PLAZA DR",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906305000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 PLAZA DR",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906305000",
"telephone_number": "602-570-6472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDER",
"first_name": "RYAN",
"middle_name": "MITCHELL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-24",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN107795",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ryan.linder@optum.com",
"affiliation": "N",
"endpointDescription": "same",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5757 Plaza Dr",
"city": "Cypress",
"state": "CA",
"country_code": "US",
"postal_code": "906305000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.