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

Ryan Jacob Boettger, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1104492974

Ryan Jacob Boettger, DPM is a Podiatry in San Diego, California. Qualified in 2025, 1 year ago. Practices with Sharp Rees-Stealy Medical Group Inc, a 874-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2021
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4077 Fifth Ave # MER-35
San Diego, CA 92103-2105
Phone: (619) 260-7220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E6115 (CA)

Record details

NPI number1104492974
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 1, 2021
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address4077 Fifth Ave # Mer35, San Diego, CA 92103-2105

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sharp Rees-Stealy Medical Group Inc — 874 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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