RYAN O'DONELL - NPI 1124679253 - Nurse Practitioner in Los Alamitos, CA

Q: What is Ryan O'donell's NPI number?

The NPI number for Ryan O'donell is 1124679253. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Q: What is Ryan O'donell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ryan O'donell was last updated on November 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Ryan O'donell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN O'DONELL (NPI 1124679253) is an individual psychiatric/mental health provider in Los Alamitos, California, licensed in California (95021048) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124679253

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameRYAN O'DONELL

Location Address4132 KATELLA AVE STE 200Los Alamitos, CA 90720-3496

Mailing Address4132 Katella Ave Ste 200Los Alamitos, CA 90720-3496 · (562) 312-1777

Phone(562) 312-1777

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 20, 2019

Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1124679253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95021048

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95026182 (CA)

4132 KATELLA AVE STE 200, Los Alamitos, CA 90720

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan O'donell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779094354

PECOS Enrollment IDI20250707000803

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KASHYAP TRIVEDI MD INC

Internal Medicine (Gastroenterology)