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MR. RYAN THOMAS CHURCH M.D.
NPI 1275978504
Dermatology in Los Angeles, CA

Active since April 30, 2013PECOS EnrolledAccepts Medicare Assignment
1515 N VERMONT AVE, 5TH FLOOR - DEPT OF DERMATOLOGY, LOS ANGELES, CA 90027(323) 783-4171(323) 783-4171 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2021, Nov 22, 2016 (2 updates tracked since 2016).

About Mr. Ryan Thomas Church M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RYAN THOMAS CHURCH M.D. (NPI 1275978504) is an individual dermatology provider in Los Angeles, California, licensed in California (A136859) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2013).

NPPES Registry Identity

NPI1275978504
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMR. RYAN THOMAS CHURCHCredential: M.D.
Location Address1515 N VERMONT AVE, 5TH FLOOR - DEPT OF DERMATOLOGYLos Angeles, CA 90027-5337
Mailing Address1515 N Vermont Ave, 5th Floor - Dept Of DermatologyLos Angeles, CA 90027-5337 · (323) 783-4171 · Fax (323) 783-4171
Phone(323) 783-4171
Fax(323) 783-4171
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2013
Enumeration DateApril 30, 2013
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
✔ NPI 1275978504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A136859
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1515 N VERMONT AVE, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ryan Thomas Church M.d. 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.

PECOS PAC ID6709196389
PECOS Enrollment IDI20170221000956
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DIEU NGUYEN ROSEN
Nurse Practitioner (Family)
1515 N VERMONT AVE
LOS ANGELES, CA 90027
Los Angeles County (833) 574-2273
TRACY M HIGUCHI O.D.
Optometrist
1515 N VERMONT AVE, OPTOMETRY DEPARTMENT 6TH FLOOR
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4510
VINCENT LOUIE
Pharmacist
1515 N VERMONT AVE, SUITE 237
LOS ANGELES, CA 90027
Los Angeles County (323) 783-3830
DR. HARLEEN HAYREH MD
Internal Medicine (Critical Care Medicine)
1515 N VERMONT AVE, 1ST FLOOR- PULMONARY DEPARTMENT
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4858
ANGELA KHANJIAN PHARMD
Pharmacist
1515 N VERMONT AVE
LOS ANGELES, CA 90027
Los Angeles County (323) 783-8183
DR. ROBERTT J. SCHECHTER M.D.
Ophthalmology
1515 N VERMONT AVE, SUITE 7B
LOS ANGELES, CA 90027
Los Angeles County (800) 954-8000
DR. ANNIE BAGHGEDJIAN
Pharmacist
1515 N VERMONT AVE
LOS ANGELES, CA 90027
Los Angeles County (323) 783-2735
DR. SHILPA DESAI M.D.
General Practice
1515 N VERMONT AVE, 5TH FLOOR
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4652

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 Church's NPI number?

The NPI number for Ryan Church is 1275978504. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is Ryan Church located?

Ryan Church practices at 1515 N Vermont Ave 5th Floor - Dept Of Dermatology, Los Angeles, CA 90027. The listed phone number is (323) 783-4171.

What is Ryan Church's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Ryan Church enrolled in Medicare?

Yes. Ryan Church 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.

When was this NPI record last updated?

The NPPES record for Ryan Church was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.