Individual provider Active NPI

Ethan Mitchell Ross, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1780848507
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A104876 Issued in CA
Practice address
4867 W Sunset Blvd
Los Angeles, CA 90027-5969
Phone
(323) 783-9221
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD175737 OR
Emergency Medicine Physician 207P00000X A104876 CA Primary
Emergency Medicine Physician 207P00000X 2025049266 MO

Addresses

Primary practice location

4867 W Sunset Blvd
Los Angeles, CA 90027-5969

Mailing address

4867 W Sunset Blvd
Los Angeles, CA 90027-5969
Phone (323) 783-9221

Other practice location 1

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 875-2627

Other practice location 2

1000 E Hwy 60
Monett, MO 65708-8258
Phone (417) 354-1580

Other practice location 3

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200

Other practice location 4

3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (514) 523-1797

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, OR, FL, WY, MO, KS7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20121004000278 CA Practitioner - Emergency Medicine 0547419681 Reassigns benefits to 10 organizations
I20210630002694 WA Practitioner - Emergency Medicine 0547419681 Reassigns benefits to 1 organization
I20220707002299 OR Practitioner - Emergency Medicine 0547419681 Reassigns benefits to 2 organizations
I20240612000791 FL Practitioner - Emergency Medicine 0547419681 Reassigns benefits to 1 organization
I20251211003995 WY Practitioner - Emergency Medicine 0547419681 Reassigns benefits to 1 organization
I20260224001652 MO Practitioner - Emergency Medicine 0547419681 Reassigns benefits to 1 organization
I20260303003168 KS Practitioner - Emergency Medicine 0547419681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Trinity Emergency PhysiciansGroup PAC ID 4284171166, 47 clinicians
Camden Emergency Group LLCGroup PAC ID 2961665369, 31 clinicians
Carepoint Emergency Medicine Kansas LLCGroup PAC ID 9537440367, 79 clinicians

Practice addresses (Care Compare)

1441 Constitution Blvd
Salinas, CA 93906-3100
Phone (831) 755-4111

2020 59TH St W
Blake Medical Center
Bradenton, FL 34209-4604
Phone (941) 792-6611

525 W Acacia St
Stockton, CA 95203-2405
Phone (530) 244-5400

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104876CAMDEmergency Medicine Physician
2025049266MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Redondo Emergency Physicians, Inc. Emergency Medicine CurrentSince Feb 10, 2019 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Oct 19, 2014 Accepting new patients
Campbell County Hospital District, CurrentSince Jan 1, 2026 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Aug 1, 2022 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 11, 2012 Accepting new patients
HMH Emergency Medical Group, Inc. Emergency Medicine CurrentSince Nov 23, 2014 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Oct 19, 2014 Accepting new patients
Camden Emergency Group LLC Emergency Medicine CurrentSince Jan 20, 2026 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Aug 1, 2022 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Jul 15, 2021 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Jun 26, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 11, 2012 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Carepoint Emergency Medicine Kansas LLC Emergency Medicine CurrentSince Mar 1, 2026 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Jul 15, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 29, 2025 Accepting new patients
Campbell County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Clallam County Public Hospital District No 1 Current Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Trinity Emergency Physicians Emergency Medicine CurrentSince May 4, 2025 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Michael S. Agron, M.D., Inc. Emergency Medicine CurrentSince Jan 15, 2017 Accepting new patients

Locations (25 of 37)

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200

4867 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 783-7920

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

Interoperability endpoints

  • Direct secure messaging: eross274081@hisp.ehr.sutterhealth.org

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 9

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1780848507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275969",
            "telephone_number": "323-783-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275969",
            "telephone_number": "323-783-9221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-875-2627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Hwy 60",
            "address_purpose": "LOCATION",
            "city": "Monett",
            "state": "MO",
            "postal_code": "657088258",
            "country_code": "US",
            "telephone_number": "417-354-1580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983682443",
            "country_code": "US",
            "telephone_number": "360-385-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3325 Pocahontas Rd",
            "address_purpose": "LOCATION",
            "city": "Baker City",
            "state": "OR",
            "postal_code": "978141464",
            "country_code": "US",
            "telephone_number": "514-523-1797",
            "fax_number": "514-523-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ETHAN",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD175737",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A104876",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2025049266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.