RYAN TIMOTHY LARSON
NPI 1962234492
Peer Specialist in San Luis Obispo, CA

Q: What is Ryan Larson's NPI number?

The NPI number for Ryan Larson is 1962234492. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Q: What is Ryan Larson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Larson was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 August 14, 2024

784 HIGH ST, SAN LUIS OBISPO, CA 93401(805) 540-6500(805) 540-6501 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2024, Aug 14, 2024 (2 updates tracked since 2024).

On this page

About Ryan Timothy Larson NPPES

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

RYAN TIMOTHY LARSON (NPI 1962234492) is an individual peer specialist in San Luis Obispo, California and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1962234492

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameRYAN TIMOTHY LARSON

Location Address784 HIGH STSan Luis Obispo, CA 93401-5243

Mailing AddressPo Box 15408San Luis Obispo, CA 93406-5408 · (805) 540-6500 · Fax (805) 540-6501

Phone(805) 540-6500

Fax(805) 540-6501

Sole ProprietorNo

Enumeration DateAugust 14, 2024

Last NPPES UpdateApril 15, 20252 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1962234492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

784 HIGH ST, San Luis Obispo, CA 93401

Open in Google Maps ↗

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.

RAYMOND SAINT TAVAREZ

Counselor (Mental Health)