Active NPI
Emma Christine Ryan, DO
- Surgery Physician
- Rancho Cucuamonga, CA
National Provider Identifier
1679920284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 18987
- Practice address
- 8680 Monroe Court
Suite 200
Rancho Cucuamonga, CA 91730 - Phone
- (909) 987-0899
- Fax
- (909) 987-9399
- NPI assigned
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AZ | ||
| Surgery Physician | 208600000X | 18987 | CA | Primary |
| Surgery Physician | 208600000X | 009083 | AZ |
Addresses
Primary practice location
8680 Monroe Court
Suite 200
Rancho Cucuamonga, CA 91730
Mailing address
8680 Monroe Court
Suite 200
Rancho Cucuamonga, CA 91730
Phone (909) 987-0899
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009083 | AZ | MD | Surgery Physician |
| 18987 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1679920284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8680 MONROE COURT",
"address_2": "SUITE 200",
"city": "RANCHO CUCUAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-987-0899",
"fax_number": "909-987-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8680 MONROE COURT",
"address_2": "SUITE 200",
"city": "RANCHO CUCUAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-987-0899",
"fax_number": "909-987-9399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "EMMA",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "18987",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "009083",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucuamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.