Individual provider Active NPI

Ryan Blanco, PA

  • Physician Assistant
  • Inglewood, CA
National Provider Identifier
1760972400
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
555 E Hardy St
Inglewood, CA 90301-4011
Phone
(310) 673-4660
NPI assigned
May 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

555 E Hardy St
Inglewood, CA 90301-4011

Mailing address

1545 N Las Palmas Ave Apt 12
Hollywood, CA 90028-7126
Phone (347) 497-2205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240607002836 AZ Practitioner - Physician Assistant 0648514836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians

Practice addresses (Care Compare)

1515 E Bethany Home Rd
Suite 120B
Phoenix, AZ 85014-2496
Phone (602) 812-3080

1810 S Power Rd
Suite 101
Mesa, AZ 85206-4325
Phone (480) 214-0045

18404 N Tatum Blvd
Suite 101C
Phoenix, AZ 85032-1511
Phone (602) 992-1900

1955 S Signal Butte Rd
Suite 103
Mesa, AZ 85209-2609
Phone (480) 214-4466

2487 S Gilbert Rd
Suite A108
Gilbert, AZ 85295-8899
Phone (480) 899-1341

2720 W Baseline Rd
Suite 140
Tempe, AZ 85283-1065
Phone (602) 777-6000

2875 W Ray Rd
Suite 8
Chandler, AZ 85224-3619
Phone (480) 899-3070

3244 S Mill Ave
Suite 101
Tempe, AZ 85282-3688
Phone (480) 214-0621

3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444

725 S Rural Rd
Suite 120
Tempe, AZ 85288-2047
Phone (480) 214-0622

835 W University Dr
Mesa, AZ 85201-5555
Phone (480) 664-6007

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
77.66
Promoting interoperability
100
Improvement activities
40
Cost
66.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Urgent Care, LLC CurrentSince May 20, 2024 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince May 20, 2024 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

3244 S Mill Ave
Ste 101
Tempe, AZ 85282
Phone (480) 214-0621

Interoperability endpoints

  • Direct secure messaging: rblanco571191@direct.honorhealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1760972400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 N LAS PALMAS AVE APT 12",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900287126",
            "telephone_number": "347-497-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E HARDY ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014011",
            "telephone_number": "310-673-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "RYAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.