Active NPI
Ryan McLean Walsh, PA-C
- Physician Assistant
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA64860
- Practice address
- 1454 University VLG
Salt Lake City, UT 84108-3518 - Phone
- (385) 775-4354
- NPI assigned
- Oct 12, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | PA64860 | CA | Primary |
Addresses
Primary practice location
1454 University VLG
Salt Lake City, UT 84108-3518
Mailing address
4646 S Zenia Meadows CT
Salt Lake City, UT 84107-4117
Phone (385) 775-4405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, CA, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Utah School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1525 W 2100
Salt Lake City, UT 84119-1407
Phone (801) 213-9900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64860 | CA | MD | General Practice Dentistry |
| PA64860 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| University of Utah Community Physicians Group | Current | Accepting new patients | |
| Sterling Provider Group | Single Specialty | Current | Accepting new patients |
| Urgent Care Associates PLLC | Single Specialty | Current | Accepting new patients |
| Sterling Provider Group | Single Specialty | Current | Accepting new patients |
| Cep America LLC | Single Specialty | Current | Accepting new patients |
| Cep America, LLC | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| Inland Cardiology Associates, P.S. | Single Specialty | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
1129 S Broadway Ave
Boise, ID 83706
Phone (208) 795-9790
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
10965 W Overland Rd
Boise, ID 83709
Phone (208) 900-9901
6965 N Glenwood St
Boise, ID 83714
Phone (208) 853-3000
1404 Pomerelle Ave
Ste A1
Burley, ID 83318
Phone (208) 878-8783
5605 Northside Xing
Chubbuck, ID 83202
Phone (208) 547-5062
267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433
507 S Main St
Hailey, ID 83333
Phone (208) 788-0061
7017 Daisy Ln
Idaho Falls, ID 83402
Phone (208) 534-5878
740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111
2201 Thain Grade
Lewiston, ID 83501
Phone (208) 717-3100
1693 S Meridian Rd
#110
Meridian, ID 83642
3185 E Ustick Rd
Meridian, ID 83646
Phone (208) 296-7100
1610 Caldwell Blvd
Nampa, ID 83651
Phone (208) 207-8500
777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000
900 N Highway 41
Ste 2
Post Falls, ID 83854
Phone (208) 457-7100
130 W Main St
Rexburg, ID 83440
Phone (208) 356-8818
939 S State Highway 89
Ste 1
Logan, UT 84321
Phone (435) 787-8504
630 E 1400 N
Ste 150
North Logan, UT 84341
Phone (435) 787-8504
609 S Highway 91
Ste A
Richmond, UT 84333
1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841
Interoperability endpoints
- rwalsh888041@ahs.direct-ci.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Intensive Outpatient Clinic (Medical)
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1467241554
-
dba North Canyon Medical Center
- Critical Access Hospital
- Gooding, ID
- NPI 1609046671
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1851808133
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1124422126
-
dba North Canyon Imaging Center Twin Falls
- Radiology Clinic/Center
- Twin Falls, ID
- NPI 1700641636
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsman Mental Health Institute
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1487734976
-
dba University Health Care Hospitals and Clinics
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1588656870
-
dba University Health Care
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1467538520
-
dba Portneuf Rehabilitation Center
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
dba Portneuf Medical Center
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1528533825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 S ZENIA MEADOWS CT",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841074117",
"telephone_number": "385-775-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 UNIVERSITY VLG",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841083518",
"telephone_number": "385-775-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "RYAN",
"middle_name": "MCLEAN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-12",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA64860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.