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

Ryan Cantos

Individual provider Family Nurse Practitioner · NPI 1114703188

Ryan Cantos is a Nurse Practitioner in Ventura, California. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

2772 Johnson Dr Ste 114
Ventura, CA 93003-7261
Phone: (805) 644-3311
Fax: (805) 644-2161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95027027 (CA)

Record details

NPI number1114703188
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 6, 2023
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023
Mailing address2772 Johnson Dr Ste 114, Ventura, CA 93003-7261

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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