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

Ryan Charles Dollbaum, MD

Individual provider Emergency Medicine Physician · NPI 1467983296

Ryan Charles Dollbaum, MD is an Emergency Medicine in Vallejo, California. Graduated from University of Southern California Keck School of Medicine in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
9
Trained at
University of Southern California Keck School of Medicine
Licensed in
CO
In the registry since
2017
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

975 Sereno Dr
Vallejo, CA 94589-2441
Phone: (714) 319-2577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DR.0066359 (CO)

Record details

NPI number1467983296
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing address975 Sereno Dr, Vallejo, CA 94589-2441

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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