Active NPI
Ryan Michael Greytak, M.D.
- Psychiatry Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A126390
- Practice address
- 4855 E Cesar Chavez Blvd
Fresno, CA 93727-3811 - Phone
- (559) 255-8395
- NPI assigned
- Mar 8, 2010
- Last updated
- Apr 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A126390 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fresno Center | Psychiatry | Current | Accepting new patients |
| The Fresno Center | Psychiatry | Current | Accepting new patients |
| The Fresno Center | Current | Accepting new patients | |
| The Fresno Center | Psychiatry | Past | Accepting new patients |
| Exodus Recovery, Inc. | Past | 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.
-
- Psychiatry Physician
- Fresno, CA
- NPI 1164741070
-
- Psychiatry Physician
- Fresno, CA
- NPI 1437347721
-
- Adult Day Care Clinic/Center
- Fresno, CA
- NPI 1770197659
-
- Community/Behavioral Health Agency
- Orange, CA
- NPI 1326641671
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.