Paul Harold Ryan Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G416820 Issued in CA

Practice address

1420 Tara Hills Dr
Suite D
Pinole, CA 94564-2530

Phone

(510) 724-5222

Fax

(510) 724-4714

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

94.13 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.03

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• East Bay Ophthalmology

  • Ophthalmology Physician
  • Pinole, CA
  • NPI 1871783308
  NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1831169010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 TARA HILLS DR",
            "address_2": "SUITE D",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642530",
            "telephone_number": "510-724-5222",
            "fax_number": "510-724-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TARA HILLS DR",
            "address_2": "SUITE D",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642530",
            "telephone_number": "510-724-5222",
            "fax_number": "510-724-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PAUL",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G416820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Rosenfeld
• Cindy Ross
• Rachel Ann Ruderman, PSY. D.
• Reina Ruiz
• Ryan Derby, MD Corp.
• Gary David Sabbadini, D.D.S.
• Moung Meuy Saechao
• Akpevweoghene Rume Sagua, PHARMD
• Mary Jane Salazar-Linayao, DDS
• Gabrielle Kathleen Salcido, RN

• Ophthalmology Physician in Pinole, CA
• Providers in Pinole, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.

Verify at the official NPI Registry.