Kenisha Nisbett, D.O.
Kenisha Nisbett, D.O. is an Addiction Medicine (Preventive Medicine) Physician in Los Angeles, CA, registered under NPI 1316471527. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1513 S GRAND AVE STE 200, Los Angeles, CA 90015. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 17194 | CA | Addiction Medicine (Preventive Medicine)… primary |
| 20A17194 | CA | Internal Medicine Physician |
This provider holds licence 17194 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Psychiatry
- PAC ID
- 1456757210
- Enrollment ID
- I20210902003147
Medicare enrolment is recorded as approved under the provider type Practitioner - Psychiatry. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Addiction Medicine covers
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. NUCC Health Care Provider Taxonomy, code 2083A0300X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician Addiction Medicine | 17194 | CA | primary |
| 207R00000X | Internal Medicine Physician | 20A17194 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1316471527 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 13, 2017 |
| Last updated | May 20, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | D.O. |
| Practice address |
1513 S GRAND AVE STE 200 Los Angeles, CA 90015 (323) 438-0483 Fax (310) 862-6817 |
| Mailing address |
122 S GREEN ST STE 5 Tehachapi, CA 93561 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 1 | 6 | 4 | 7 | 1 | 5 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 2 | 6 | 8 | 7 | 2 | 5 | 4 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.