Sanja Ryan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95023054 Issued in CA

Practice address

1777 N Bellflower Blvd Ste 109
Long Beach, CA 90815-4019

Phone

(692) 498-4455

Fax

(562) 498-4499

NPI assigned

Feb 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sanja Stublic Ryan Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Great Life Medical PC

  • Health Service Clinic/Center
  • Long Beach, CA
  • NPI 1396357513
  Medicare reassignment NPD
• Zarzana Chiropractic, Inc.

  • Chiropractor
  • Long Beach, CA
  • NPI 1932348547
  NPD

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1649976317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 PIER AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543822",
            "telephone_number": "310-498-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD STE 109",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154019",
            "telephone_number": "692-498-4455",
            "fax_number": "562-498-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SANJA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95023054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANJA",
            "last_name": "STUBLIC RYAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• RX Wellness Apc
• Ryan J. Fait, DDS, Inc.
• Darcy Calvin Ryan, O.D.
• Katherine Ryan
• Rachel Marie Ryan
• Lisa Marie Ryder, PMHNP
• Misty Ryman, MFT
• Michael William Rymer, PT
• Christina Soojung Ryou, PA
• Meyoung Ryu, DPM

• Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.