Active NPI
Marc Pierson Ryan, L.AC.
- Acupuncturist
- San Pedro, CA
National Provider Identifier
1568615375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9282
- Practice address
- 150 W 6TH St
#200
San Pedro, CA 90731-3300 - Phone
- (310) 831-2202
- NPI assigned
- Oct 24, 2008
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC9282 | CA | Primary |
Addresses
Primary practice location
150 W 6TH St
#200
San Pedro, CA 90731-3300
Mailing address
150 W 6TH St
San Pedro, CA 90731-3300
Phone (310) 831-2202
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC9282 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Health Acupuncture | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Acupuncturist
- San Pedro, CA
- NPI 1275837841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1568615375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 W 6TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313300",
"telephone_number": "310-831-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W 6TH ST",
"address_2": "#200",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313300",
"telephone_number": "310-831-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MARC",
"middle_name": "PIERSON",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-24",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.