Ryan Gollott, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

64721 Issued in CA

Practice address

1450 N Main St
Salinas, CA 93906-5100

Phone

(831) 772-7070

NPI assigned

Jan 17, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgollott719971@hisp.ehr.sutterhealth.org
• Direct secure messaging: ryan.gollott.1@29879.direct.athenahealth.com

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.

• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Sacramento, CA
  • NPI 1356695092
  NPD

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1750142741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939065100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939065100",
            "telephone_number": "831-772-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLOTT",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "64721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Goldberg
• Valerie Jean Golden, LCSW
• Sheree Laniece Goldman, RN, NP
• Jessica Taylor Goldstein, M.D.
• Erin Anne Golec, PA
• Amy Gomez-Aldama
• Alicia Graciela Gomez-Velasco
• Ames Noah Gomez, BA
• Ariseli Lopez Gomez
• Claudia Belen Gomez

• Physician Assistant in Salinas, CA
• Providers in Salinas, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.

Verify at the official NPI Registry.