Active NPI
Larissa Grebenchtchikova, M.D.
- Anesthesiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 43833
- Practice address
- 250 E Dunlap Ave
Phoenix, AZ 85020-2825 - Phone
- (602) 943-2381
- NPI assigned
- Jul 22, 2008
- Last updated
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 003161 | NY | |
| Anesthesiology Physician | 207L00000X | DR.0076648 | CO | |
| Anesthesiology Physician | 207L00000X | C169056 | CA | |
| Anesthesiology Physician | 207L00000X | 003161 | NY | |
| Anesthesiology Physician | 207L00000X | 100498 | WI | |
| Anesthesiology Physician | 207L00000X | 43833 | AZ | Primary |
Addresses
Primary practice location
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Mailing address
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381
Other practice location 1
1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-5000
Other practice location 2
400 W 16th St
Pueblo, CO 81003-2745
Phone (719) 584-4045
Other practice location 3
10400 75th St
Kenosha, WI 53142-7884
Phone (262) 948-5600
Other practice location 4
2105 Forest Ave
San Jose, CA 95128-1471
Phone (408) 259-5000 ext. 2616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100230616 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, AZ, CA, OK, PA, MT, HI, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (480) 666-7850
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (917) 903-0010
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
5755 S Houghton Rd
Tucson, AZ 85747-0002
Phone (520) 324-5818
Hospital & facility affiliations
- Kingman Regional Medical Center
- Tucson Medical Center
- Havasu Regional Medical Center
- UCSF Medical Center
- City of Hope Cancer Center Phoenix
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.98 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 80.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.03 of 100
- Quality
- 44.74
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294865 | NY | MD | Licensed Practical Nurse |
| 43833 | AZ | MD | Anesthesiology Physician |
| C169056 | CA | MD | Anesthesiology Physician |
| DR.0076648 | CO | MD | Anesthesiology Physician |
| 100498 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delphi Healthcare PLLC | Anesthesiology | Current | Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Sierra Vista Regional Health Center Medical Group LLC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Orthomed Staffing LLC | Anesthesiology | Current | Accepting new patients |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Grand Canyon Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Emergenchealth PLLC | Anesthesiology | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Arizona - Nogales | Anesthesiology | Current | Accepting new patients |
| Northeastern Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| University Anesthesia Medical Group | Anesthesiology | Current | Accepting new patients |
| Valley Regional Anesthesia Associates Inc | Anesthesiology | Current | Accepting new patients |
| U of R Anesthesiology Group | Anesthesiology | Current | Accepting new patients |
| Anesthesia Partners of Arizona LLC | Anesthesiology | Current | Accepting new patients |
| Battle Born Anesthesia Associates LTD | Anesthesiology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| Ias Arizona PLLC | Anesthesiology | Current | Accepting new patients |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Premier Anesthesia of California, PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Radius Anesthesia of Arizona PLLC | Anesthesiology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Siskiyou Hospital, Inc. | Past | Accepting new patients | |
| UCSF Medical Center | Anesthesiology | Past | Accepting new patients |
| Banner Heart Hospital | Past | Accepting new patients | |
| Wilcox Memorial Hospital | Past | Accepting new patients | |
| Universityofrochester | Past | Accepting new patients | |
| Maple Gate Anesthesiologists, P.C. | Anesthesiology | Past | Accepting new patients |
| St Josephs University Medical Center Inc. | Past | Accepting new patients | |
| Kingman Healthcare, Inc | Past | Accepting new patients | |
| Highland Hospital of Rochester | Past | Accepting new patients | |
| Honorhealth | Past | Accepting new patients | |
| Banner - University Medical Center Phoenix | Past | Accepting new patients | |
| Yavapai Community Hospital Association | Past | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Past | Accepting new patients |
| University of California San Francisco | Past | Accepting new patients |
Locations (25 of 47)
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
2223 E Baseline Rd
Ste B
Gilbert, AZ 85234
Phone (480) 289-5266
18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1850 N 95th Ave
Ste 190
Phoenix, AZ 85037
Phone (523) 594-4060
2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
300 W Clarendon Ave
Ste 230
Phoenix, AZ 85013
Phone (323) 470-0335
4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
5700 E Highway 90
Fl 4
Sierra Vista, AZ 85635
Phone (520) 263-3500
10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
5755 S Houghton Rd
Tucson, AZ 85747
Phone (520) 324-1727
1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
Interoperability endpoints
- lgrebenchtchikova143912@cityofhope.direct-ci.com
- lgrebenchtchikova195119@santaclaravalley.direct-ci.net
- lgrebenchtchikova230989@direct.urmc.rochester.edu
- lgrebenchtchikova349151@direct-ucsfmedicalcenter.org
Organizations & group practices 48
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Kingman, AZ
- NPI 1629781455
-
- Anesthesiology Physician
- Scottsdale, AZ
- NPI 1356822902
-
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1487251799
Anesthesiology
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- Anesthesiology Physician
- Sierra Vista, AZ
- NPI 1487956504
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1528137296
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1689359747
-
- Family Medicine Physician
- Sierra Vista, AZ
- NPI 1043575483
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Havasu Regional Medical Center
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
-
dba Western Regional Medical Center Retail Pharmacy
- Community/Retail Pharmacy
- Goodyear, AZ
- NPI 1710138037
Hospital
-
dba City of Hope Cancer Center Arizona
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1093970766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E DUNLAP AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202825",
"telephone_number": "602-943-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E DUNLAP AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202825",
"telephone_number": "602-943-2381"
}
],
"practiceLocations": [
{
"address_1": "1400 E Boulder St",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809095533",
"country_code": "US",
"telephone_number": "719-365-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W 16th St",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810032745",
"country_code": "US",
"telephone_number": "719-584-4045",
"fax_number": "719-542-0809",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10400 75th St",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531427884",
"country_code": "US",
"telephone_number": "262-948-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2105 Forest Ave",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951281471",
"country_code": "US",
"telephone_number": "408-259-5000 x2616",
"fax_number": "408-995-0117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREBENCHTCHIKOVA",
"first_name": "LARISSA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NY",
"license": "003161",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR.0076648",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "C169056",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "003161",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "100498",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "43833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100230616",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.