Individual provider Active NPI

Ryan B Viets, MD

  • Neuroradiology Physician
  • La Mesa, CA
National Provider Identifier
1568617108
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
A151144 Issued in CA
Practice address
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone
(619) 740-4034
Fax
(619) 740-4324
NPI assigned
Nov 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A125809 CA
Diagnostic Radiology Physician 2085R0202X 2012012483 MO
Surgery Physician 208600000X A151144 CA
Neuroradiology Physician 2085N0700X A151144 CA Primary

Addresses

Primary practice location

5555 Grossmont Center Dr
La Mesa, CA 91942

Mailing address

7777 Alvarado Road # 108
La Mesa, CA 91942
Phone (619) 460-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140207001708 CA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 2567618739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
California Center for Neurointerventional SurgeryGroup PAC ID 8325215312, 4 clinicians

Practice addresses (Care Compare)

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

9834 Genesee Ave
Suite 411
La Jolla, CA 92037-1264
Phone (858) 677-1755

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A125809CAMDDiagnostic Radiology Physician
A151144CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
California Center for Neurointerventional Surgery CurrentSince May 11, 2019 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 22, 2020 Accepting new patients
Barnes Jewish West County Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

9834 Genesee Ave
Ste 411
La Jolla, CA 92037
Phone (858) 453-7700

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

23052 Alicia Pkwy
Ste 619
Mission Viejo, CA 92692
Phone (714) 808-9292

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

11199 Sorrento Valley Rd
Ste 203
San Diego, CA 92121
Phone (267) 266-6171

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBDCD/Endpoint/JJBDCD
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: rviets81718@scrippshlth.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1568617108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 ALVARADO ROAD # 108",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-460-2770",
            "fax_number": "619-460-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-740-4034",
            "fax_number": "619-740-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIETS",
        "first_name": "RYAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A125809",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2012012483",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A151144",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A151144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.