Individual provider Active NPI

Ryan Wycliffe

  • Diagnostic Radiology Physician
  • Orange, CA
National Provider Identifier
1861925067
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A19615 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868-3298
Phone
(714) 880-7812
NPI assigned
Apr 5, 2017
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 20A19615 CA Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3298

Mailing address

20 Pacific GRV
Irvine, CA 92602-1017

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220607001247 CA Practitioner - Diagnostic Radiology 6608145313 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians

Practice addresses (Care Compare)

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19615CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jun 17, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jun 17, 2024 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince Feb 4, 2026 Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Enloe Medical Center CurrentSince Feb 20, 2026 Accepting new patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
California Imaging Institute Medical Group Inc CurrentSince Feb 4, 2026 Accepting new patients
Saint Agnes Medical Foundation CurrentSince Jun 1, 2025 Accepting new patients
Mineral King Radiological Medical Group, Inc Diagnostic Radiology CurrentSince Jul 28, 2025 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Enloe Medical Center CurrentSince Feb 20, 2026 Accepting new patients
Herndon Healthcare, Inc. Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Physicians Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1510 E Herndon Ave
Ste 110
Fresno, CA 93720
Phone (559) 450-6742

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

1867 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-5800

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

8933 Activity Rd
San Diego, CA 92126
Phone (858) 499-2704

1700 S Court St
Ste A
Visalia, CA 93277
Phone (559) 734-5674

1700 S Court St
Ste C
Visalia, CA 93277
Phone (559) 734-5674

1700 S Court St
Ste F
Visalia, CA 93277
Phone (559) 734-9244

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 3

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1861925067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PACIFIC GRV",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926021017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683298",
            "telephone_number": "714-880-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCLIFFE",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A19615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.