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

Dr. Ryan Matthew Blake, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982233979

Dr. Ryan Matthew Blake, MD is an Urology in San Diego, California. Graduated from Columbia University College of Physicians and Surgeons in 2020, 6 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
6
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
CA, NY
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.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Diego, CA
Fax: (888) 539-8781

Additional practice locations (3)

  • 9300 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273
  • 9400 Campus Point Dr, La Jolla, CA 92093-6508 — (800) 926-8273
  • 1468 Madison Ave, New York, NY 10029-6508 — (212) 241-6500

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence A201025 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1982233979
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2020 (6 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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