What is Ryan Tennis's NPI number?

Ryan Tennis's National Provider Identifier (NPI) is 1063052645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ryan Tennis's specialty?

Ryan Tennis is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Ryan Tennis located?

Ryan Tennis's practice location on file with NPPES is 1212 N California St, Stockton, CA 95202-1552.

What is Ryan Tennis's phone number?

The practice phone number listed in the NPPES registry for Ryan Tennis is (209) 639-9047.

Is Ryan Tennis's NPI active?

Yes — Ryan Tennis's NPI (1063052645) is active in the NPPES registry as of the last update on 2020-01-10.

IndividualActive

Ryan Tennis

NPI 1063052645 · Case Manager/Care Coordinator · Stockton, CA

Ryan Tennis is a Case Manager/Care Coordinator provider in Stockton, CA (NPI 1063052645).

Provider details

NPI number: 1063052645
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1212 N California St

Stockton, CA 95202-1552

Phone: (209) 639-9047

Street-level locationGet directions

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Mailing address