MR. RYAN THOMAS CHURCH M.D.
NPI 1275978504
Dermatology in Los Angeles, CA
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Ryan Church reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 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.
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.
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 90027
LOS ANGELES, CA 90027
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.
Which organization bills Medicare for Ryan Church's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Church reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Church'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 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.
# Mr. Ryan Thomas Church, M.D. · NPI 1275978504
Dermatology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 30, 2013.
## Identity
- **NPI:** 1275978504 (Entity type: Individual)
- **Enumerated:** April 30, 2013
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** A136859 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1515 N VERMONT AVE, 5TH FLOOR - DEPT OF DERMATOLOGY, Los Angeles, CA 90027-5337
- **Phone:** (323) 783-4171 · **Fax:** (323) 783-4171
## 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:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** November 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1275978504) · Data from the CMS NPPES public registry.