Individual provider Active NPI

Ryan Mopal, NP

  • Primary Care Nurse Practitioner
  • Palm Springs, CA
National Provider Identifier
1801673587
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95027002 Issued in CA
Practice address
3655 E Ramon Rd
Palm Springs, CA 92264-1150
Phone
(760) 327-9400
NPI assigned
Sep 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95027002 CA Primary

Addresses

Primary practice location

3655 E Ramon Rd
Palm Springs, CA 92264-1150

Mailing address

802 Magnolia Ave Ste 205
Corona, CA 92879-3144
Phone (951) 281-2730

Other practice location 1

802 Magnolia Ave Ste 205
Corona, CA 92879-3144
Phone (951) 281-2730

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250701000621 CA Practitioner - Nurse Practitioner 9830602077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arrae HealthGroup PAC ID 6103202486, 6 clinicians

Practice addresses (Care Compare)

802 Magnolia Ave
Suite 205
Corona, CA 92879-3144
Phone (951) 281-2730

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arrae Health CurrentSince May 1, 2025 Accepting new patients

Locations

802 Magnolia Ave
Ste 205
Corona, CA 92879
Phone (951) 281-2730

3655 E Ramon Rd
Palm Springs, CA 92264
Phone (760) 327-9400

3975 Jackson St
Ste 105
Riverside, CA 92503
Phone (951) 359-6030

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1801673587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE STE 205",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793144",
            "telephone_number": "951-281-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E RAMON RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641150",
            "telephone_number": "760-327-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Magnolia Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793144",
            "country_code": "US",
            "telephone_number": "951-281-2730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOPAL",
        "first_name": "RYAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95027002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.