Individual provider Active NPI

Ethan Ryan Payton, MD

  • Family Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1053998013
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A194641 Issued in CA
Practice address
8820 Wilshire Blvd Ste 110
Beverly Hills, CA 90211-2620
Phone
(424) 315-0776
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A194641 CA Primary

Addresses

Primary practice location

8820 Wilshire Blvd Ste 110
Beverly Hills, CA 90211-2620

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

1245 16th St Ste 309
Santa Monica, CA 90404-1239
Phone (310) 319-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514003082 CA Practitioner - Family Practice 8729435029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Washington University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

8820 Wilshire Blvd
Suite 110
Beverly Hills, CA 90211-2620
Phone (310) 423-8200

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A194641CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Sep 8, 2025 Accepting new patients
Los Angeles LGBT Center CurrentSince Jul 1, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Sep 8, 2025 Accepting new patients
Los Angeles LGBT Center CurrentSince Jul 1, 2024 Accepting new patients

Locations

8820 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (310) 423-4945

1625 Schrader Blvd
Fl 3
Los Angeles, CA 90028
Phone (323) 993-7400

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

18133 Ventura Blvd
Ste 300
Tarzana, CA 91356
Phone (310) 423-8888

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: epayton526104@direct.cshs.org
  • Direct secure messaging: epayton1221491@direct.uclahealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053998013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 WILSHIRE BLVD STE 110",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112620",
            "telephone_number": "424-315-0776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 16th St Ste 309",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041239",
            "country_code": "US",
            "telephone_number": "310-319-4377",
            "fax_number": "509-626-9917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "ETHAN",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A194641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.