Serra Eugenie Park Ryu, D.P.M.
NPI 1174848568ActiveIndividual· Podiatrist· Fullerton, CA
Podiatrist (D.P.M.) in Fullerton, California, licensed in CA, with an NPI issued in March 2010. Part D covered 21 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1174848568 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.P.M. |
| Sole proprietor | Yes |
| NPI issued | Mar 29, 2010 |
| Last updated in NPPES | May 28, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | E5166 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 21 · 23 30-day fills |
|---|---|
| Total drug cost | $370.65 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Podiatrist providers in Fullerton
- 1659279503
- 1033682331
- 1992044358
- 1013951938
- 1992000236