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

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