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MS. SERRA EUGENIE PARK RYU D.P.M.
NPI 1174848568
Podiatrist in Fullerton, CA

Active since March 29, 2010PECOS Enrolled
300 N EUCLID ST, SUITE A, FULLERTON, CA 92832(714) 888-6860 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Serra Eugenie Park Ryu D.p.m. NPPES

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

MS. SERRA EUGENIE PARK RYU D.P.M. (NPI 1174848568) is an individual podiatrist in Fullerton, California, licensed in California (E5166) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174848568
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameMS. SERRA EUGENIE PARK RYUCredential: D.P.M.
Location Address300 N EUCLID ST, SUITE AFullerton, CA 92832-1623
Mailing Address300 N Euclid St Ste AFullerton, CA 92832-1623 · (714) 888-6860
Phone(714) 888-6860
Sole ProprietorYes
Enumeration DateMarch 29, 2010
Last NPPES UpdateMay 28, 2015
✔ NPI 1174848568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · E5166
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
300 N EUCLID ST, Fullerton, CA 92832
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Serra Eugenie Park Ryu D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Serra Ryu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orange County Foot And Ankle Group, Inc.
0.3 mi
Foot & Ankle Surgery
300 N EUCLID ST, SUITE A
Fullerton, CA 92832
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
NPI 1639102833 (714) 888-6860

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 92832 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

TAM NGUYEN
Podiatrist (Foot & Ankle Surgery)
300 N EUCLID ST
FULLERTON, CA 92832
Orange County (714) 888-6860
DR. ALEXANDRA ALYSSA JACOBS DPM
Podiatrist (Foot & Ankle Surgery)
300 N EUCLID ST
FULLERTON, CA 92832
Orange County (714) 888-6860
ALCAM MEDICAL INC
Prosthetic/Orthotic Supplier
300 N EUCLID ST
FULLERTON, CA 92832
Orange County (866) 847-7187
DR. STEPHANIE J NANSON DPM
Podiatrist (Foot & Ankle Surgery)
300 N EUCLID ST, SUITE A
FULLERTON, CA 92832
Orange County (714) 888-6860
DR. JONATHAN IAN BENNETT D.P.M.
Podiatrist (Foot & Ankle Surgery)
300 N EUCLID ST, SUITE A
FULLERTON, CA 92832
Orange County (714) 888-6860
ORANGE COUNTY FOOT AND ANKLE GROUP, INC.
Podiatrist (Foot & Ankle Surgery)
300 N EUCLID ST, SUITE A
FULLERTON, CA 92832
Orange County (714) 888-6860
DR. COREY M LEJEUNE DPM
Podiatrist (Foot & Ankle Surgery)
300 N EUCLID ST, SUITE A
FULLERTON, CA 92832
Orange County (714) 888-6860

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 Serra Ryu's NPI number?

The NPI number for Serra Ryu is 1174848568. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Where is Serra Ryu located?

Serra Ryu practices at 300 N Euclid St Suite A, Fullerton, CA 92832. The listed phone number is (714) 888-6860.

What is Serra Ryu's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Serra Ryu enrolled in Medicare?

Yes. Serra Ryu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Serra Ryu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serra Ryu reassigns Medicare benefits to Orange County Foot And Ankle Group, Inc. (Fullerton, 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 Serra Ryu'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 Serra Ryu was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.