Individual provider Active NPI

Chester F Griffiths, MD, FACS

  • Otolaryngology Physician
  • Los Angeles, CA
National Provider Identifier
1104939248
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A45673 Issued in CA
Practice address
11645 Wilshire Blvd
6TH Floor
Los Angeles, CA 90025-1708
Phone
(310) 477-5558
Fax
(310) 477-7281
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A45673 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd
6TH Floor
Los Angeles, CA 90025-1708

Mailing address

11645 Wilshire Blvd
6TH Floor
Los Angeles, CA 90025-1708
Phone (310) 477-5558

Other identifiers 1

IdentifierTypeStateIssuer
00A456730OtherCAMEDICAL PPIN #

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
I20040205001201 CA Practitioner - Otolaryngology 8123911138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chester F Griffiths M D a Medical CorporationGroup PAC ID 8224921226, 3 clinicians

Practice addresses (Care Compare)

11645 Wilshire Blvd
Suite 600
Los Angeles, CA 90025-6807
Phone (310) 477-5558

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45673CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester F Griffiths, MD - a Medical Corporation Otolaryngology CurrentSince Jan 8, 2003 Accepting new patients
Pacific Neuroscience Institute Medical Group Inc PastSince Aug 1, 2016 Accepting new patients
Pacific Hearing & Balance., Inc PastSince Mar 1, 1994 Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
The Regents of the University of California Past Accepting new patients
West Wilshire Medical Surgical Center Inc. PastSince Mar 9, 2005 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients

Locations

11645 Wilshire Blvd
Fl 6
Los Angeles, CA 90025
Phone (310) 447-5558

11645 Wilshire Blvd
Ste 600
West Los Angeles, CA 90025
Phone (310) 477-5558

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cgriffiths472780@oc.providencedirect.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1104939248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "6TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "6TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITHS",
        "first_name": "CHESTER",
        "middle_name": "F",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A45673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00A456730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.