Individual provider · Type 1 NPI

Ryan Bacco

Other Technician · Cool, CA

NPI number 1194683680 Active

Practice location

4009 Bird View Ct
Cool, CA 95614-9455

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

About NPI 1194683680

Ryan Bacco's National Provider Identifier is 1194683680, issued on Jan 13, 2026. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Cool, CA. The record was last updated on Jan 13, 2026.