RYAN KIRK GOLE
NPI 1043890833
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Ryan Kirk Gole NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN KIRK GOLE (NPI 1043890833) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ryan Kirk Gole is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ryan Gole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Santa Monica, CA 90404
- Reassigned Medicare billing, California enrollment
- 83 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ryan Gole's NPI number?
The NPI number for Ryan Gole is 1043890833. It was assigned to this individual provider in the NPPES registry on April 14, 2021.
Where is Ryan Gole located?
Ryan Gole practices at 1200 N State St Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (208) 661-8252.
What is Ryan Gole's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ryan Gole enrolled in Medicare?
Yes. Ryan Gole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ryan Gole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Gole reassigns Medicare benefits to 2 organizations: Usc Care Medical Group, Inc (Los Angeles, CA) and Bayside Anesthesia Medical Group (Santa Monica, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Gole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ryan Gole was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ryan Kirk Gole · NPI 1043890833
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 14, 2021.
## Identity
- **NPI:** 1043890833 (Entity type: Individual)
- **Enumerated:** April 14, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1200 N STATE ST, CLINIC TOWER, SUITE A7D, Los Angeles, CA 90033-1029
- **Phone:** (208) 661-8252
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA); Bayside Anesthesia Medical Group (NPI 1184668469, Santa Monica, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** April 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043890833) · Data from the CMS NPPES public registry.