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AUDREY GRIESBACH M.D.
NPI 1659597193
Pediatrics - Developmental - Behavioral Pediatrics in Los Angeles, CA

Active since April 17, 2007Opted out of Medicare · through Apr 7, 2028
11835 W OLYMPIC BLVD, SUITE 1200E, LOS ANGELES, CA 90064(310) 996-8990(310) 996-8991 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audrey Griesbach M.d. NPPES

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

AUDREY GRIESBACH M.D. (NPI 1659597193) is an individual developmental - behavioral pediatrics provider in Los Angeles, California, licensed in California (G35142) and active in the NPI registry since April 2007. She has opted out of Medicare through April 7, 2028.

NPPES Registry Identity

NPI1659597193
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameAUDREY GRIESBACHCredential: M.D.
Location Address11835 W OLYMPIC BLVD, SUITE 1200ELos Angeles, CA 90064-5001
Mailing Address11835 W Olympic Blvd, Suite 1200eLos Angeles, CA 90064-5001 · (310) 996-8990 · Fax (310) 996-8991
Phone(310) 996-8990
Fax(310) 996-8991
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659597193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in CA · G35142
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
11835 W OLYMPIC BLVD, Los Angeles, CA 90064
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Audrey Griesbach M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 7, 2022 through April 7, 2028.

Opt-Out Effective DateApril 7, 2022
Opt-Out In Effect ThroughApril 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

AMY GUADALUPE CANAL BA
Behavior Analyst
11835 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (818) 345-2345
RANIQUE HOPKINS
Marriage & Family Therapist
11835 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (909) 253-7450
NADIA TURNER
Counselor (Professional)
11835 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (213) 441-1137
MOLLY WINTER HANNA NP
Nurse Practitioner (Psychiatric/Mental Health)
11835 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
CALINE NASR MSW, M.ED.
Social Worker (Clinical)
11835 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (323) 332-9905
IVETTE FLORES
Behavior Technician
11835 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (424) 320-3134
MS. LINDA LEVINE LCSW
Social Worker (Clinical)
11835 W OLYMPIC BLVD, SUITE 1090
LOS ANGELES, CA 90064
Los Angeles County (818) 995-8160
BAHAR RAHNAMA PSY.D.
Psychologist (Clinical Child & Adolescent)
11835 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (424) 284-8910

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 Audrey Griesbach's NPI number?

The NPI number for Audrey Griesbach is 1659597193. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Audrey Griesbach located?

Audrey Griesbach practices at 11835 W Olympic Blvd Suite 1200E, Los Angeles, CA 90064. The listed phone number is (310) 996-8990.

What is Audrey Griesbach's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Audrey Griesbach enrolled in Medicare?

No. Audrey Griesbach has opted out of Medicare through April 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Audrey Griesbach was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.