RYAN EMMANUEL PASCUA
NPI 1972064269
Internal Medicine in San Ysidro, CA

Q: What is Ryan Pascua's NPI number?

The NPI number for Ryan Pascua is 1972064269. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Q: What is Ryan Pascua's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Pascua was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 March 28, 2019PECOS Enrolled

3364 BEYER BLVD, SAN YSIDRO, CA 92173(619) 205-4585 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 10, 2025, May 22, 2020, Mar 26, 2020 (3 updates tracked since 2020).

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About Ryan Emmanuel Pascua NPPES

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

RYAN EMMANUEL PASCUA (NPI 1972064269) is an individual internal medicine provider in San Ysidro, California, licensed in California (A192121) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972064269

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRYAN EMMANUEL PASCUA

Location Address3364 BEYER BLVDSan Ysidro, CA 92173-1322

Mailing Address3364 Beyer BlvdSan Ysidro, CA 92173-1322 · (619) 205-4585

Phone(619) 205-4585

Sole ProprietorNo

Enumeration DateMarch 28, 2019

Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1972064269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A192121

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3364 BEYER BLVD, San Ysidro, CA 92173

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Emmanuel Pascua 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.

Medicare Billing Reassignments

Medicare enrollment records show Ryan Pascua reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro De Salud De La Comunidad De San Ysidro, Inc.

Same address

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

3364 BEYER BLVD, SUITE #102 & #103
San Ysidro, CA 92173

Reassigned Medicare billing, California enrollment
577 clinicians in this Medicare group

NPI 1265843122 (619) 662-4100

Imperial Beach Community Clinic

3.3 mi

Community Health

949 PALM AVENUE
Imperial Beach, CA 91932

Reassigned Medicare billing, California enrollment
24 clinicians in this Medicare group

NPI 1790718351 (619) 429-3733

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 92173 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 19

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

NICOLE RENTERIA RN

Registered Nurse

3364 BEYER BLVD
SAN YSIDRO, CA 92173

San Diego County (619) 662-4100

MARYLUPE FLORES LCSW

Social Worker (Clinical)

3364 BEYER BLVD
SAN YSIDRO, CA 92173

San Diego County (619) 205-4585

EKATERINA CHAUSSE CASTRO NP

Nurse Practitioner (Family)

3364 BEYER BLVD
SAN DIEGO, CA 92173

San Diego County (619) 205-4585

BALWINDER K SHUKLA

Nurse Practitioner (Family)

3364 BEYER BLVD
SAN YSIDRO, CA 92173

San Diego County (619) 205-4585

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

3364 BEYER BLVD, SUITE #102 & #103
SAN YSIDRO, CA 92173

San Diego County (619) 662-4100

CONNIE FU MA

Pharmacist

3364 BEYER BLVD
SAN DIEGO, CA 92173

San Diego County (619) 205-4585

WILBUR ADRIAN DIENTE BARSANA

Physical Therapy Assistant

3364 BEYER BLVD
SAN YSIDRO, CA 92173

San Diego County (619) 205-4585

SAN DIEGO PACE, LLC

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

3364 BEYER BLVD
SAN YSIDRO, CA 92173

San Diego County (619) 662-4100

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 Pascua's NPI number?

The NPI number for Ryan Pascua is 1972064269. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Ryan Pascua located?

Ryan Pascua practices at 3364 Beyer Blvd, San Ysidro, CA 92173. The listed phone number is (619) 205-4585.

What is Ryan Pascua's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ryan Pascua enrolled in Medicare?

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

Which organizations bill Medicare for Ryan Pascua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Pascua reassigns Medicare benefits to 2 organizations: Centro De Salud De La Comunidad De San Ysidro, Inc. (San Ysidro, CA) and Imperial Beach Community Clinic (Imperial Beach, 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 Ryan Pascua'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 Ryan Pascua was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.