Individual provider Active NPI

Patrick R Ryan, MD

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1760638118
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A109977 Issued in CA
Practice address
2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520
Phone
(310) 619-5106
NPI assigned
Aug 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A109977 CA Primary

Addresses

Primary practice location

2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520

Mailing address

2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520
Phone (925) 296-7150

Other practice location 1

16130 Juan Hernandez Dr Ste 106
Morgan Hill, CA 95037-5527
Phone (925) 481-5164

Other practice location 2

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 481-5164

Other identifiers 1

IdentifierTypeStateIssuer
0A1099770MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130621000110 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5496994584 Reassigns benefits to 11 organizations
I20190808001605 HI Practitioner - Diagnostic Radiology 5496994584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of California, Geffen School of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians
John Muir Trauma Physicians Billing ServiceGroup PAC ID 3476542515, 111 clinicians
John Muir Magnetic Imaging CenterGroup PAC ID 9032019625, 57 clinicians
Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, 133 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

1601 Ygnacio Valley Rd
Suite 100
Walnut Creek, CA 94598-3122
Phone (925) 939-3000

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

2410 High School Ave
Concord, CA 94520-1829
Phone (925) 687-5600

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-4107

365 Lennon LN
Walnut Creek, CA 94598-5915

500 Ala Moana Blvd
Honolulu, HI 96813-4902
Phone (925) 296-7150

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523
  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
County of Santa Clara CurrentSince May 8, 2022 Accepting new patients
Advanced Sleep Diagnostics, Inc. CurrentSince Feb 1, 2020 Accepting new patients
County of Santa Clara CurrentSince May 8, 2022 Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Nov 27, 2016 Accepting new patients
Michael P Sherman MD PHD, a Medical Corporation CurrentSince May 11, 2023 Accepting new patients
Queens North Hawaii Community Hospital Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
County of Santa Clara Current Accepting new patients
Queens University Medical Group CurrentSince Jan 1, 2025 Accepting new patients
Epic Care CurrentSince Jan 11, 2024 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Feb 1, 2020 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Bass Medical Group Past Accepting new patients
Advanced Imaging LLC Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

16130 Juan Hernandez Dr
Ste 106
Morgan Hill, CA 95037
Phone (408) 465-2555

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2125 Oak Grove Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 993-9440

500 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 939-9610

500 Ala Moana Blvd
Ste 7421
Honolulu, HI 96813

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

Interoperability endpoints

  • Direct secure messaging: pryan185309@santaclaravalley.direct-ci.net
  • Direct secure messaging: pryan342656@hisp.ehr.sutterhealth.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1760638118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982520",
            "telephone_number": "925-296-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982520",
            "telephone_number": "310-619-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16130 Juan Hernandez Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "950375527",
            "country_code": "US",
            "telephone_number": "925-481-5164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2637 Shadelands Dr",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982512",
            "country_code": "US",
            "telephone_number": "925-481-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PATRICK",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A109977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1099770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.