Individual provider Active NPI

Ryan Michael Greytak, M.D.

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1750604617
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A126390 Issued in CA
Practice address
4855 E Cesar Chavez Blvd
Fresno, CA 93727-3811
Phone
(559) 255-8395
NPI assigned
Mar 8, 2010
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A126390 CA Primary
Geriatric Psychiatry Physician 2084P0805X A126390 CA

Addresses

Primary practice location

4855 E Cesar Chavez Blvd
Fresno, CA 93727-3811

Mailing address

4855 E Cesar Chavez Blvd
Fresno, CA 93727-3811
Phone (559) 255-8395

Other practice location 1

4879 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395

Other practice location 2

6121 N Thesta St Ste 304
Fresno, CA 93710-5294
Phone (559) 538-1735

Other practice location 3

4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 512-8650

Other practice location 4

265 S Anita Dr Ste 102-104
Orange, CA 92868-3355
Phone (714) 410-3500

Other practice location 5

4871 E Cesar Chavez Blvd
Fresno, CA 93727-3811
Phone (559) 255-8395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4430 Campus Ave
Suite 8
San Diego, CA 92116-3907

4430 Campus Ave
Suite 8
San Diego, CA 92116-3976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A126390CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Fresno Center Psychiatry CurrentSince May 15, 2025 Accepting new patients
The Fresno Center Psychiatry CurrentSince May 15, 2025 Accepting new patients
The Fresno Center CurrentSince Apr 6, 2025 Accepting new patients
The Fresno Center Psychiatry PastSince Aug 25, 2024 Accepting new patients
Exodus Recovery, Inc. PastSince Nov 22, 2020 Accepting new patients

Locations

1725 N Fine Ave
Fresno, CA 93727

4879 E Kings Canyon Rd
Fresno, CA 93727
Phone 5592558395 ext. 242

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.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1750604617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 E CESAR CHAVEZ BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273811",
            "telephone_number": "559-255-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 E CESAR CHAVEZ BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273811",
            "telephone_number": "559-255-8395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4879 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937273811",
            "country_code": "US",
            "telephone_number": "559-255-8395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6121 N Thesta St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105294",
            "country_code": "US",
            "telephone_number": "559-538-1735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4411 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-512-8650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 S Anita Dr Ste 102-104",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683355",
            "country_code": "US",
            "telephone_number": "714-410-3500",
            "fax_number": "714-410-3526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4871 E Cesar Chavez Blvd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937273811",
            "country_code": "US",
            "telephone_number": "559-255-8395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREYTAK",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2025-04-02",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A126390",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A126390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.