Active NPI
Ethan Ryan Payton, MD
- Family Medicine Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A194641
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A194641 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Los Angeles LGBT Center | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Los Angeles LGBT Center | Current | 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
- epayton526104@direct.cshs.org
- 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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1548298532
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1225599178
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
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
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- Dana Elise Payinda, L.R.E.
- Payman Vahedifar a Professional Medical Corporation
- Barbra Payne, PSY.D.
- Sharone Pazooky, DDS
- Peace of Mind ABA, LLC
- Beata Alina Pearce, MSN, FNP, PMHNP
- Brooke Lee Pearce, AUD
- Pearlla Medical Aesthetics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.