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

Ryan Grove

Individual provider Physician Assistant · NPI 1821521659

Ryan Grove is a Physician Assistant in Fresno, California. Qualified in 2018, 8 years ago. Practices with Teton County Hospital District, a 112-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 499-6440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 56160 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 56160 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 56160 (CA)

Record details

NPI number1821521659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2017
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020
Mailing address2625 E Divisadero St, Fresno, CA 93721-1431

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Teton County Hospital District — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Fresno