Individual provider Active NPI

Ashley Nicole Ryan, PA-C

  • Physician Assistant
  • National City, CA
National Provider Identifier
1689003956
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
51877 Issued in CA
Practice address
22 W. 35TH St
St 101
National City, CA 91950
Phone
(619) 427-3361
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5556 AZ
Physician Assistant 363A00000X 51877 CA Primary

Addresses

Primary practice location

22 W. 35TH St
St 101
National City, CA 91950

Mailing address

22 W. 35TH St
St 101
National City, CA 91950-4412
Phone (619) 427-3361

Other practice location 1

480 Fourth Ave Ste 202
Chula Vista, CA 91910-4412
Phone (619) 427-3361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150207000008 CA Practitioner - Physician Assistant 4183850118 Reassigns benefits to 4 organizations
I20250221000958 MA Practitioner - Physician Assistant 4183850118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Operations PCGroup PAC ID 6406141217, 39 clinicians
Urgent Help Chelmsford PCGroup PAC ID 4284917170, 15 clinicians

Practice addresses (Care Compare)

129 Turnpike St
North Andover, MA 01845-5032
Phone (978) 470-0800

296 Main St
Haverhill, MA 01830-5045
Phone (917) 767-1104

45 Drum Hill Rd
Chelmsford, MA 01824-1503
Phone (978) 446-7515

50 Dodge St
Suite 104
Beverly, MA 01915-1711

50 Dodge St
Suite 104
Beverly, MA 01915-1765
Phone (978) 922-2171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
51877CAMDPharmacist
5556AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Help Chelmsford PC CurrentSince Jan 18, 2025 Accepting new patients
Urgent Help Chelmsford PC CurrentSince Jan 18, 2025 Accepting new patients
Urgent Care Operations PC CurrentSince Mar 7, 2025 Accepting new patients
Clara Lucy Polak, M.D. Inc. Current Accepting new patients
Urgent Care Operations PC Past Accepting new patients

Locations

480 Fourth Ave
Ste 202
Chula Vista, CA 91910
Phone (619) 427-3361

22 W 35th St
Ste 101
National City, CA 91950
Phone (619) 415-5817

50 Dodge St
Ste 104
Beverly, MA 01915
Phone (978) 922-2171

45 Drum Hill Rd
Chelmsford, MA 01824
Phone (978) 446-7515

450 Paradise Rd
Swampscott, MA 01907
Phone (781) 581-1327

Interoperability endpoints

  • Direct secure messaging: aryan105734@scrippshlth.medalliesdirect.net

Organizations & group practices 10

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1689003956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W. 35TH ST",
            "address_2": "ST 101",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504412",
            "telephone_number": "619-427-3361",
            "fax_number": "619-271-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W. 35TH ST",
            "address_2": "ST 101",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "91950",
            "telephone_number": "619-427-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Fourth Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919104412",
            "country_code": "US",
            "telephone_number": "619-427-3361",
            "fax_number": "619-271-7915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5556",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.