MR. RYAN BLACK PA-C
NPI 1972375079
Physician Assistant - Medical in Corona, CA
About Mr. Ryan Black Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RYAN BLACK PA-C (NPI 1972375079) is an individual medical provider in Corona, California, licensed in California (PA63384) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Ryan Black Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Black's NPI number?
The NPI number for Ryan Black is 1972375079. It was assigned to this individual provider in the NPPES registry on October 23, 2023.
Where is Ryan Black located?
Ryan Black practices at 802 Magnolia Ave Ste 205, Corona, CA 92879. The listed phone number is (951) 281-2730.
What is Ryan Black's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Ryan Black enrolled in Medicare?
Yes. Ryan Black is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ryan Black was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
