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

NPI Status: Active since April 17, 2007

Contact Information

11835 W OLYMPIC BLVD
SUITE 1200E
LOS ANGELES, CA
ZIP 90064
Phone: (310) 996-8990
Fax: (310) 996-8991

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  • Individual
  • Female
  • Pediatrics
  • Developmental - Behavioral Pediatrics
  • Opted-Out Medicare

About AUDREY GRIESBACH

This page provides the complete NPI Profile along with additional information for Audrey Griesbach, a pediatrician established in Los Angeles, California with a medical specialization in Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1659597193 assigned on April 2007. The practitioner's primary taxonomy code is 2080P0006X with license number G35142 (CA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1659597193
Provider Name
AUDREY GRIESBACH M.D.
Gender
Female
Entity Type
Individual
Location Address
11835 W OLYMPIC BLVD SUITE 1200E LOS ANGELES, CA 90064
Location Phone
(310) 996-8990
Location Fax
(310) 996-8991
Mailing Address
11835 W OLYMPIC BLVD SUITE 1200E LOS ANGELES, CA 90064
Mailing Phone
(310) 996-8990
Mailing Fax
(310) 996-8991
Is Sole Proprietor?
Yes
Enumeration Date
04-17-2007
Last Update Date
07-08-2007
Code Navigator

A pediatrician like Audrey Griesbach is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Audrey Griesbach opted out of Medicare effective on 04-07-2022 until 04-07-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Developmental - Behavioral Pediatrics

Taxonomy Code
2080P0006X
Type
Allopathic & Osteopathic Physicians
License No.
G35142
License State
CA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-07-2022

  • Opt-Out End Date: 04-07-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659597193, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 0 + 9 + 1 + 4 + 1 + 1 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1659597193.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Marriage & Family Therapist
11835 W OLYMPIC BLVD, STE 725
LOS ANGELES, CA 90064
Social Worker
11835 W OLYMPIC BLVD, SUITE 1090
LOS ANGELES, CA 90064
Pediatrics (Developmental - Behavioral Pediatrics)
11835 W OLYMPIC BLVD, 1200E
LOS ANGELES, CA 90064
Clinic/Center (Medical Specialty)
11835 W OLYMPIC BLVD, SUITE 415
LOS ANGELES, CA 90064
Social Worker
11835 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Social Worker (Clinical)
11835 W OLYMPIC BLVD, STE. 1090
LOS ANGELES, CA 90064
Social Worker (Clinical)
11835 W OLYMPIC BLVD, STE. 1090
LOS ANGELES, CA 90064
Social Worker
11835 W OLYMPIC BLVD, STE. 1090
LOS ANGELES, CA 90064
Social Worker (Clinical)
11835 W OLYMPIC BLVD, # 1090
LOS ANGELES, CA 90064
Social Worker
11835 W OLYMPIC BLVD, STE. 1090
LOS ANGELES, CA 90064
Social Worker
11835 W OLYMPIC BLVD, 1090
LOS ANGELES, CA 90064
Social Worker
11835 W OLYMPIC BLVD, 1090
LOS ANGELES, CA 90064
Social Worker (Clinical)
11835 W OLYMPIC BLVD, SUITE 1090
LOS ANGELES, CA 90064
Psychiatry & Neurology (Psychiatry)
11835 W OLYMPIC BLVD, SUITE 220 EAST
LOS ANGELES, CA 90064
Specialist
11835 W OLYMPIC BLVD, SUITE 135E
LOS ANGELES, CA 90064
Social Worker
11835 W OLYMPIC BLVD, #1090
LOS ANGELES, CA 90064
Behavior Analyst
11835 W OLYMPIC BLVD, SUITE 140E
LOS ANGELES, CA 90064
Specialist
11835 W OLYMPIC BLVD, SUITE 135E
LOS ANGELES, CA 90064
Psychologist (Clinical)
11835 W OLYMPIC BLVD, SUITE 220
LOS ANGELES, CA 90064
Behavior Analyst
11835 W OLYMPIC BLVD
LOS ANGELES, CA 90064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659597193, enumerated as an "individual" on April 17, 2007.

The provider is located at 11835 W OLYMPIC BLVD SUITE 1200E LOS ANGELES, CA 90064 and the phone number is (310) 996-8990.

Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.