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RYAN KIN OTA MD
NPI 1679275028
Student in an Organized Health Care Education/Training Program 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: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 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 student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679275028
Entity TypeIndividualMale
Primary Taxonomy390200000X
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 UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1679275028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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.

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 Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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 June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.