RYAN GREGORY ANSARI
NPI 1861056475
Physician Assistant - Surgical in San Rafael, CA

Active since April 29, 2019PECOS Enrolled
4000 CIVIC CENTER DR STE 209, SAN RAFAEL, CA 94903(415) 925-8963 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, Apr 29, 2019 (2 updates tracked since 2019).

About Ryan Gregory Ansari NPPES

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

RYAN GREGORY ANSARI (NPI 1861056475) is an individual surgical provider in San Rafael, California, licensed in California (PA56918) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Carlsbad.

NPPES Registry Identity

NPI1861056475
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameRYAN GREGORY ANSARI
Location Address4000 CIVIC CENTER DR STE 209San Rafael, CA 94903-5233
Mailing Address4000 Civic Center Dr Ste 209San Rafael, CA 94903-5233 · (415) 925-8963
Sole ProprietorYes
Enumeration DateApril 29, 2019
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
NPI 1861056475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA56918
Also ListedPhysician AssistantTaxonomy 363A00000X
4000 CIVIC CENTER DR STE 209, San Rafael, CA 94903

Secondary Practice Location 1

Location 11013 Daisy AveCarlsbad, CA 92011-4818 · Phone (760) 717-4947

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ryan Gregory Ansari 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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
357 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
214 services159 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
81 services67 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
80 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
74 services74 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services62 patients

Other Providers at the Same Location NPPES 9

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

Orthopaedic Surgery
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Physician Assistant (Surgical)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Podiatrist
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Surgery (Plastic and Reconstructive Surgery)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Physician Assistant (Medical)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Podiatrist (Foot & Ankle Surgery)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Physician Assistant (Surgical)
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903
Physician Assistant
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 94903

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 Ryan Ansari's NPI number?

The NPI number for Ryan Ansari is 1861056475. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Ryan Ansari located?

Ryan Ansari practices at 4000 Civic Center Dr Ste 209, San Rafael, CA 94903. The listed phone number is (415) 925-8963.

What is Ryan Ansari's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ryan Ansari enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Ansari was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.