RYAN O'DONELL
NPI 1124679253
Nurse Practitioner - Psychiatric/Mental Health in Los Alamitos, CA

Active since September 20, 2019PECOS EnrolledAccepts Medicare Assignment
4132 KATELLA AVE STE 200, LOS ALAMITOS, CA 90720(562) 312-1777 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2024, May 23, 2023, Sep 20, 2019 (3 updates tracked since 2019).

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan O'donell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
4132 KATELLA AVE STE 200
Los Alamitos, CA 90720
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Practitioner (Psychiatric/Mental Health)
4132 KATELLA AVE STE 200
LOS ALAMITOS, CA 90720
Clinic/Center (Adolescent and Children Mental Health)
4132 KATELLA AVE STE 200
LOS ALAMITOS, CA 90720
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4132 KATELLA AVE STE 200
LOS ALAMITOS, CA 90720
Nurse Practitioner (Psychiatric/Mental Health)
4132 KATELLA AVE STE 200
LOS ALAMITOS, CA 90720
Nurse Practitioner (Psychiatric/Mental Health)
4132 KATELLA AVE STE 200
LOS ALAMITOS, CA 90720
Psychiatry & Neurology (Psychiatry)
4132 KATELLA AVE STE 200
LOS ALAMITOS, CA 90720
Internal Medicine (Gastroenterology)
4132 KATELLA AVE STE 200
LOS ALAMITOS, CA 90720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Ryan O'donell located?

Ryan O'donell practices at 4132 Katella Ave Ste 200, Los Alamitos, CA 90720. The listed phone number is (562) 312-1777.

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.

Is Ryan O'donell enrolled in Medicare?

Yes. Ryan O'donell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ryan O'donell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan O'donell reassigns Medicare benefits to Focused Connections Psychiatry (Los Alamitos, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan O'donell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ryan O'donell was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.