MR. RYAN MICHAEL OCONNELL
NPI 1134770811
Physician Assistant - Medical in Santa Ana, CA

Active since September 24, 2019PECOS EnrolledAccepts Medicare Assignment
1401 W 1ST ST, SANTA ANA, CA 92703(714) 542-9700(714) 542-9708 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2025, Dec 9, 2020, Sep 24, 2019 (3 updates tracked since 2019).

About Mr. Ryan Michael Oconnell NPPES

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

MR. RYAN MICHAEL OCONNELL (NPI 1134770811) is an individual medical provider in Santa Ana, California, licensed in California (PA58938) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1134770811
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. RYAN MICHAEL OCONNELL
Location Address1401 W 1ST STSanta Ana, CA 92703-3757
Mailing Address610 Laguna RdFullerton, CA 92835-2434 · (858) 291-2503
Fax(714) 542-9708
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 24, 2019
Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
NPI 1134770811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA58938
1401 W 1ST ST, Santa Ana, CA 92703

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

Mr. Ryan Michael Oconnell 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 ID42622904
PECOS Enrollment IDI20201217000890
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.

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
1401 W 1ST ST
SANTA ANA, CA 92703
Health Maintenance Organization
1401 W 1ST ST, STE. 101
SANTA ANA, CA 92703

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 Oconnell's NPI number?

The NPI number for Ryan Oconnell is 1134770811. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Ryan Oconnell located?

Ryan Oconnell practices at 1401 W 1st St, Santa Ana, CA 92703. The listed phone number is (714) 542-9700.

What is Ryan Oconnell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ryan Oconnell enrolled in Medicare?

Yes. Ryan Oconnell 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.

When was this NPI record last updated?

The NPPES record for Ryan Oconnell was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.