GRACE CAVANAUGH
NPI 1053171926
Obstetrics & Gynecology in Los Angeles, CA

Q: What is Grace Cavanaugh's NPI number?

The NPI number for Grace Cavanaugh is 1053171926. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Q: What is Grace Cavanaugh's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Cavanaugh was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 19, 2024PECOS Enrolled

10833 LE CONTE AVE # CHSB2049, LOS ANGELES, CA 90095(310) 825-9111 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Grace Cavanaugh NPPES

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

GRACE CAVANAUGH (NPI 1053171926) is an individual obstetrics & gynecology provider in Los Angeles, California, licensed in California (14992) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053171926

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameGRACE CAVANAUGH

Location Address10833 LE CONTE AVE # CHSB2049Los Angeles, CA 90095-3075

Mailing Address10833 Le Conte Ave # Chsb2049Los Angeles, CA 90095-3075

Phone(310) 825-9111

Sole ProprietorNo

Enumeration DateMarch 19, 2024

Last NPPES UpdateDecember 30, 2024

NPPES CertifiedDecember 30, 2024

✔ NPI 1053171926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · 14992

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

10833 LE CONTE AVE # CHSB2049, Los Angeles, CA 90095

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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)

Grace Cavanaugh 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 90095 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS CARREATHERS MD