Active NPI
Ryan Zane, MD
- Public Health & General Preventive Medicine Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- G58459
- Practice address
- 799 E Rialto Ave
San Bernardino, CA 92415-1005 - Phone
- (909) 383-3060
- Fax
- (909) 383-3212
- NPI assigned
- Dec 13, 2006
- 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 |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | G58459 | CA | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | G58459 | CA | Primary |
Addresses
Primary practice location
799 E Rialto Ave
San Bernardino, CA 92415-1005
Mailing address
799 E Rialto Ave
San Bernardino, CA 92415-1005
Phone (909) 383-3060
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G58459 | CA | MD | Public Health or Welfare Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Public Health Or Welfare | Current | Accepting new patients |
| County of San Bernardino | Public Health Or Welfare | Current | Accepting new patients |
| County of San Bernardino | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Public Health Or Welfare | Current | Accepting new patients |
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Public Health Or Welfare | Past | Accepting new patients |
Locations
303 E Mountain View St
Barstow, CA 92311
Phone (760) 256-4705
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
800 E Lugonia Ave
Ste F
Redlands, CA 92374
Phone (855) 422-8029
351 N Mountain View Ave
Rm 303
Sn Bernrdno, CA 92415
799 E Rialto Ave
Sn Bernrdno, CA 92408
Phone (909) 383-3005
Interoperability endpoints
- rzane96858@direct.llu.edu
- jsvinson@yourcarecommunity.org
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
Public Health Or Welfare
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1164467023
-
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1386758225
Public Health Or Welfare
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Apple Valley, CA
- NPI 1346950904
-
- Public Health or Welfare Agency
- Ontario, CA
- NPI 1588834451
-
- Public Health or Welfare Agency
- Barstow, CA
- NPI 1073783239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1669534293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 E RIALTO AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924151005",
"telephone_number": "909-383-3060",
"fax_number": "909-383-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 E RIALTO AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924151005",
"telephone_number": "909-383-3060",
"fax_number": "909-383-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANE",
"first_name": "RYAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "CA",
"license": "G58459",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "G58459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.