Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Philip Ryan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699303008

Dr. Michael Philip Ryan, MD is a Dermatology in Fremont, California. Graduated from University of Texas Medical Branch at Galveston in 2020, 6 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
University of Texas Medical Branch at Galveston
Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

39400 Paseo Padre Pkwy
Fremont, CA 94538-2310
Phone: (510) 248-3045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A191514 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699303008
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address39400 Paseo Padre Pkwy, Fremont, CA 94538-2310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2020 (6 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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