RYAN MORAN
NPI 1205491008
Day Training/Habilitation Specialist in Santa Rosa, CA

Q: What is Ryan Moran's NPI number?

The NPI number for Ryan Moran is 1205491008. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Q: What is Ryan Moran's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Moran was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 07, 2019

3400 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 526-6902 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Sep 29, 2021, May 7, 2019 (3 updates tracked since 2019).

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About Ryan Moran NPPES

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

RYAN MORAN (NPI 1205491008) is an individual day training/habilitation specialist in Santa Rosa, California and active in the NPI registry since May 2019. He maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1205491008

Entity TypeIndividualMale

Primary Taxonomy373H00000X

Provider Legal NameRYAN MORAN

Location Address3400 MONTGOMERY DRSanta Rosa, CA 95405-5142

Mailing Address3400 Montgomery DrSanta Rosa, CA 95405-5142 · (707) 526-6902

Phone(707) 526-6902

Sole ProprietorNo

Enumeration DateMay 7, 2019

Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1205491008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

3400 MONTGOMERY DR, Santa Rosa, CA 95405

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Secondary Practice Location 1

Location 13200 Juanipero WayMedford, OR 97504-8580 · Phone (541) 816-4131 · Fax (458) 226-2163

Other Providers at the Same Location NPPES 20

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

MONIQUE LUCARELLI

Community Health Worker