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SANJA RYAN NP
NPI 1649976317
Nurse Practitioner in Long Beach, CA

Active since February 03, 2023PECOS Enrolled
1777 N BELLFLOWER BLVD STE 109, LONG BEACH, CA 90815(692) 498-4455(562) 498-4499 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2025, Feb 3, 2023 (2 updates tracked since 2023).

About Sanja Ryan Np NPPES

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

SANJA RYAN NP (NPI 1649976317) is an individual nurse practitioner in Long Beach, California, licensed in California (95023054) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649976317
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSANJA RYANCredential: NP
Location Address1777 N BELLFLOWER BLVD STE 109Long Beach, CA 90815-4019
Mailing Address507 Pier AveHermosa Beach, CA 90254-3822 · (310) 498-4113
Phone(692) 498-4455
Fax(562) 498-4499
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 3, 2023
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1649976317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95023054
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1777 N BELLFLOWER BLVD STE 109, Long Beach, CA 90815
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Other Names 1

Professional Name (2)Sanja Stublic Ryan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanja Ryan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264937655
PECOS Enrollment IDI20250925004324
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 Sanja Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Life Medical PC
Same address
Health Service
1777 N BELLFLOWER BLVD STE 109
Long Beach, CA 90815
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1396357513 (562) 498-4455

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 90815 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 3

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

GREAT LIFE MEDICAL PC
Clinic/Center (Health Service)
1777 N BELLFLOWER BLVD STE 109
LONG BEACH, CA 90815
Los Angeles County (562) 498-4455
MS. JAYNELLE MARIE HOKE AGACNP
Nurse Practitioner
1777 N BELLFLOWER BLVD STE 109
LONG BEACH, CA 90815
Los Angeles County (562) 498-4455
ZARZANA CHIROPRACTIC, INC.
Chiropractor
1777 N BELLFLOWER BLVD STE 109
LONG BEACH, CA 90815
Los Angeles County (562) 498-4455

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 Sanja Ryan's NPI number?

The NPI number for Sanja Ryan is 1649976317. It was assigned to this individual provider in the NPPES registry on February 3, 2023. The provider is also known as Sanja Stublic Ryan.

Where is Sanja Ryan located?

Sanja Ryan practices at 1777 N Bellflower Blvd Ste 109, Long Beach, CA 90815. The listed phone number is (692) 498-4455.

What is Sanja Ryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sanja Ryan enrolled in Medicare?

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

Which organization bills Medicare for Sanja Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanja Ryan reassigns Medicare benefits to Great Life Medical PC (Long Beach, 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 Sanja 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 Sanja Ryan was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.