1. Home
  2. Directory
  3. California
  4. Upland
  5. Physician Assistant
  6. NPI Profile

CORY RYAN PA
NPI 1447809876
Physician Assistant in Upland, CA

Active since September 09, 2019PECOS Enrolled
360 E 7TH ST STE D, UPLAND, CA 91786(909) 219-9909 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2024, Mar 10, 2024, Sep 9, 2019 (3 updates tracked since 2019).

About Cory Ryan Pa NPPES

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

CORY RYAN PA (NPI 1447809876) is an individual physician assistant in Upland, California, licensed in (PA57192) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447809876
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCORY RYANCredential: PA
Location Address360 E 7TH ST STE DUpland, CA 91786-6701
Mailing Address360 E 7th St Ste DUpland, CA 91786-6701 · (909) 219-9909
Phone(909) 219-9909
Sole ProprietorNo
Enumeration DateSeptember 9, 2019
Last NPPES UpdateApril 2, 20243 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1447809876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · PA57192
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
360 E 7TH ST STE D, Upland, CA 91786
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1735 S D StPerris, CA 92570-2419 · Phone (951) 657-3177
Location 215532 Bear Valley RdVictorville, CA 92395 · Phone (760) 245-5516

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cory Ryan Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 4

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

LUIS CONCHA
Registered Nurse (Critical Care Medicine)
360 E 7TH ST STE D
UPLAND, CA 91786
San Bernardino County (909) 920-9193
F JIMENEZ MEDICAL CORPORATION
Family Medicine
360 E 7TH ST STE D
UPLAND, CA 91786
San Bernardino County (909) 920-9193
CORY LYNN PHYSICIAN ASSISTANT CORP
Physician Assistant
360 E 7TH ST STE D
UPLAND, CA 91786
San Bernardino County (909) 920-9193
FRANCISCO A JIMENEZ M.D.
Family Medicine
360 E 7TH ST STE D
UPLAND, CA 91786
San Bernardino County (909) 920-9193

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 Cory Ryan's NPI number?

The NPI number for Cory Ryan is 1447809876. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Cory Ryan located?

Cory Ryan practices at 360 E 7th St Ste D, Upland, CA 91786. The listed phone number is (909) 219-9909.

What is Cory Ryan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cory Ryan enrolled in Medicare?

Yes. Cory Ryan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cory Ryan was last updated on April 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.