DR. GORDON A RYAN MD NPI 1396824546

NPI Information

NPI: 1396824546
Provider Name: DR. GORDON A RYAN, MD
Classification: Hospitalist - 208M00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 439-2998

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NPI Details

DR. Gordon A Ryan, MD is a hospitalist in San Luis Obispo, CA. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DR. Gordon A Ryan, MD NPI is 1396824546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1010 MURRAY AVE
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 439-2998
Fax: (805) 439-2997

The NPI 1396824546 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 7/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	C145619	CALIFORNIA	No
2	207R00000X	Internal Medicine	0101034688	VIRGINIA	No
3	208M00000X	Hospitalist	0101034688	VIRGINIA	No
4	208M00000X	Hospitalist	C145619	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005878900	MEDICAID	VIRGINIA
2	12085	OTHER	VIRGINIA	SENTARA HEALTH PLANS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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