Active NPI
Ryan Hasser, PA-C
- Physician Assistant
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 59115
- Practice address
- 4640 Admiralty Way
Marina del Rey, CA 90292-6621 - Phone
- (888) 880-3451
- NPI assigned
- Dec 7, 2020
- Last updated
- Oct 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 59115 | CA | Primary |
Addresses
Primary practice location
4640 Admiralty Way
Marina del Rey, CA 90292-6621
Mailing address
25155 Paseo Equestre
Lake Forest, CA 92630-2156
Phone (949) 842-5477
Other practice location 1
24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Phone (949) 586-3200
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
136 E Walnut Ave
Monrovia, CA 91016-3431
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthowest | Current | Accepting new patients | |
| Orthowest | Physician Assistant | Current | Accepting new patients |
| Empire Wound Care | Current | Accepting new patients |
Locations
22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332
24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800
136 E Walnut Ave
Monrovia, CA 91016
Phone (323) 803-3284
1651 Response Rd
Ste 350
Sacramento, CA 95815
Phone (818) 450-1188
Organizations & group practices 5
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.
-
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- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
-
- Orthopaedic Surgery Physician
- Laguna Woods, CA
- NPI 1760007330
-
- General Practice Physician
- Monrovia, CA
- NPI 1710796792
-
- Orthopaedic Surgery Physician
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- NPI 1487246732
-
- Durable Medical Equipment & Medical Supplies
- Fountain Valley, CA
- NPI 1497356489
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1740886654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25155 PASEO EQUESTRE",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926302156",
"telephone_number": "949-842-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4640 ADMIRALTY WAY",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926621",
"telephone_number": "888-880-3451"
}
],
"practiceLocations": [
{
"address_1": "24331 El Toro Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Laguna Woods",
"state": "CA",
"postal_code": "926373116",
"country_code": "US",
"telephone_number": "949-586-3200",
"fax_number": "949-900-2116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASSER",
"first_name": "RYAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-07",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "59115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.