JENNIFER DESTREZA RYAN MSN, AGNP
NPI 1447806021
Nurse Practitioner - Gerontology in Torrance, CA
About Jennifer Destreza Ryan Msn, Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER DESTREZA RYAN MSN, AGNP (NPI 1447806021) is an individual gerontology provider in Torrance, California, licensed in California (95012280) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Torrance.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Destreza Ryan Msn, Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jennifer Ryan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90035
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Los Angeles, CA 90035
- Reassigned Medicare billing, California enrollment
- 9 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 90503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TORRANCE, CA 90503
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 Jennifer Ryan's NPI number?
The NPI number for Jennifer Ryan is 1447806021. It was assigned to this individual provider in the NPPES registry on August 10, 2019.
Where is Jennifer Ryan located?
Jennifer Ryan practices at 5315 Torrance Blvd, Torrance, CA 90503. The listed phone number is (800) 535-8446.
What is Jennifer Ryan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Jennifer Ryan enrolled in Medicare?
Yes. Jennifer Ryan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jennifer Ryan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Ryan reassigns Medicare benefits to 2 organizations: Supportive Care Specialists (Los Angeles, CA) and Goldencast Medical Corporation (Los Angeles, CA). Each 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 Jennifer Ryan'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 Jennifer Ryan was last updated on August 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jennifer Destreza Ryan, MSN, AGNP · NPI 1447806021
Gerontology physician in Torrance, California. Individual provider, active in the CMS NPPES registry since August 10, 2019.
## Identity
- **NPI:** 1447806021 (Entity type: Individual)
- **Enumerated:** August 10, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 95012280 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5315 TORRANCE BLVD, Torrance, CA 90503-4011
- **Phone:** (800) 535-8446
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Supportive Care Specialists (NPI 1518705771, Los Angeles, CA); Goldencast Medical Corporation (NPI 1952550097, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1447806021) · Data from the CMS NPPES public registry.