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

Ryan Gregory Ansari

Individual provider Physician Assistant · NPI 1861056475

Ryan Gregory Ansari is a Physician Assistant in San Rafael, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

4000 Civic Center Dr Ste 209
San Rafael, CA 94903-5233
Phone: (415) 925-8963
Show map & directions

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

Additional practice locations (1)

  • 1013 Daisy Ave, Carlsbad, CA 92011-4818 — (760) 717-4947

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA56918 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1861056475
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2019
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023
Mailing address4000 Civic Center Dr Ste 209, San Rafael, CA 94903-5233

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