Individual provider Active NPI

Jason Alan Grieshober, M.D.

  • Orthopaedic Surgery Physician
  • Anaheim, CA
National Provider Identifier
1063730612
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A136421 Issued in CA
Practice address
947 S Anaheim Blvd Ste 125
Anaheim, CA 92805-5584
Phone
(714) 241-7000
Fax
(714) 241-7003
NPI assigned
May 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A136421 CA Primary

Addresses

Primary practice location

947 S Anaheim Blvd Ste 125
Anaheim, CA 92805-5584

Mailing address

11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045
Phone (714) 241-7000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825005201 CA Practitioner - Orthopedic Surgery 5193031979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OrthowestGroup PAC ID 3072932623, 48 clinicians

Practice addresses (Care Compare)

1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone (714) 241-7000

22 Odyssey
Suite 205
Irvine, CA 92618-3197
Phone (949) 586-3200

947 S Anaheim Blvd
Suite 125
Anaheim, CA 92805-5584
Phone (714) 241-7000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136421CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthowest Orthopaedic Surgery CurrentSince Jul 1, 2020 Accepting new patients
John P Kelly MD a Professional Medical Corporation Orthopaedic Surgery CurrentSince Aug 1, 2016 Accepting new patients
Orthowest Orthopaedic Surgery CurrentSince Jul 1, 2020 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients

Locations

947 S Anaheim Blvd
Ste 125
Anaheim, CA 92805
Phone (714) 241-7000

1211 W La Palma Ave
Ste 102
Anaheim, CA 92801
Phone (714) 442-1141

710 N Euclid St
Ste 201
Anaheim, CA 92801
Phone (714) 241-7000

11190 Warner Ave
Ste 300
Fountain Vly, CA 92708
Phone (714) 241-7000

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332

24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1063730612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE STE 300",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084045",
            "telephone_number": "714-241-7000",
            "fax_number": "714-241-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD STE 125",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055584",
            "telephone_number": "714-241-7000",
            "fax_number": "714-241-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESHOBER",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A136421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.