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
- Last updated
- 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, 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": "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
- Jeffrey Raymond Russell II
- John Baptist Russo, M.D.
- Karen Marie Russo
- Rustin Wilson Chiropractic Corporation
- Ryan Chang, DDS Inc
- Nina Sabet-Peyman, M.D.
- Saeed Malekafzali, MD, Inc.
- Sage House Adult Day Care Center
- Sahawneh Dental Corporation (Bright Now Dental - San Pedro)
- Sahawneh Dental Corporation (Bright Now Dental San Pedro)
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.