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

Mr. Ryan Black, PA-C

Individual provider Medical Physician Assistant · NPI 1972375079

Mr. Ryan Black, PA-C is a Medical Physician Assistant in Corona, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

802 Magnolia Ave Ste 205
Corona, CA 92879-3144
Phone: (951) 281-2730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA63384 (CA)

Record details

NPI number1972375079
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 23, 2023
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

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