Individual provider Active NPI

Ryan Saiyasombat

  • School Counselor
  • San Gabriel, CA
National Provider Identifier
1831077411
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
210096326 Issued in CA
Practice address
408 Junipero Serra Dr
San Gabriel, CA 91776-1235
Phone
(626) 451-5438
NPI assigned
Aug 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 210096326 CA Primary

Addresses

Primary practice location

408 Junipero Serra Dr
San Gabriel, CA 91776-1235

Mailing address

408 Junipero Serra Dr
San Gabriel, CA 91776-1235
Phone (626) 451-5438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
210096326CAMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1831077411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 JUNIPERO SERRA DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761235",
            "telephone_number": "626-451-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 JUNIPERO SERRA DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761235",
            "telephone_number": "626-451-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIYASOMBAT",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "210096326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.