Healthcare Provider Details

I. General information

NPI: 1235633116
Provider Name (Legal Business Name): RYAN PATE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 BUSH ST STE 131E
SAN FRANCISCO CA
94109-5273
US

IV. Provider business mailing address

1801 BUSH ST STE 131E
SAN FRANCISCO CA
94109-5273
US

V. Phone/Fax

Practice location:
  • Phone: 408-320-8145
  • Fax: 650-563-6826
Mailing address:
  • Phone: 408-320-8145
  • Fax: 650-563-6826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberA180265
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: