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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RYAN KIN OTA MD
NPI 1679275028
Internal Medicine in Los Angeles, CA

Active since March 20, 2023PECOS Enrolled
1200 N STATE ST STE A7D, LOS ANGELES, CA 90089(323) 409-7556 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Ryan Kin Ota Md NPPES

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

RYAN KIN OTA MD (NPI 1679275028) is an individual internal medicine provider in Los Angeles, California, licensed in California (A210176) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679275028
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRYAN KIN OTACredential: MD
Location Address1200 N STATE ST STE A7DLos Angeles, CA 90089-1001
Mailing Address1600 N Rose AveOxnard, CA 93030-3722
Phone(323) 409-7556
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1679275028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A210176
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1200 N STATE ST STE A7D, Los Angeles, CA 90089
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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 (PECOS)

Ryan Kin Ota Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90089 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

DR. ISHANI D PREMARATNE MD
Plastic Surgery
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-6225
DIVYA MULCHANDANI MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-5707
YEKTA RAHIMI ASHTIANI MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556
DAVID VASCONCELLOS
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556
CATHERINE POTIN
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556
JUSTIN VU
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556
ASHLEY KWON
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556
PRANAV BHAMIDIPATI
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7556

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 Ota's NPI number?

The NPI number for Ryan Ota is 1679275028. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Ryan Ota located?

Ryan Ota practices at 1200 N State St Ste A7d, Los Angeles, CA 90089. The listed phone number is (323) 409-7556.

What is Ryan Ota's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ryan Ota enrolled in Medicare?

Yes. Ryan Ota is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Ota was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.