TIFFANY BETH GRUNWALD MD, MSED
NPI 1164620100
Surgery - Plastic and Reconstructive Surgery in Santa Monica, CA

Active since July 10, 2007Opted out of Medicare · through Jul 1, 2028
1301 20TH ST, SUITE 430, SANTA MONICA, CA 90404(310) 828-4646(310) 828-3939 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Tiffany Beth Grunwald Md, Msed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY BETH GRUNWALD MD, MSED (NPI 1164620100) is an individual plastic and reconstructive surgery provider in Santa Monica, California, licensed in California (A75509) and active in the NPI registry since July 2007. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164620100
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameTIFFANY BETH GRUNWALDCredential: MD, MSED
Location Address1301 20TH ST, SUITE 430Santa Monica, CA 90404-2050
Mailing Address1301 20th St, Suite 430Santa Monica, CA 90404-2050 · (310) 828-4646 · Fax (310) 828-3939
Fax(310) 828-3939
Sole ProprietorYes
Enumeration DateJuly 10, 2007
Last NPPES UpdateJanuary 13, 2014
NPI 1164620100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in CA · A75509
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1301 20TH ST, Santa Monica, CA 90404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Tiffany Beth Grunwald Md, Msed has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2014 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2014
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
1301 20TH ST, SUITE 570
SANTA MONICA, CA 90404
Specialist
1301 20TH ST, SUITE 590
SANTA MONICA, CA 90404
Clinic/Center (Primary Care)
1301 20TH ST, SUITE 550
SANTA MONICA, CA 90404
Orthopaedic Surgery (Sports Medicine)
1301 20TH ST, 150
SANTA MONICA, CA 90404
Internal Medicine (Gastroenterology)
1301 20TH ST, SUITE 280
SANTA MONICA, CA 90404
Allergy & Immunology
1301 20TH ST, SUITE 220
SANTA MONICA, CA 90404
Ophthalmology
1301 20TH ST, SUITE 250
SANTA MONICA, CA 90404
Internal Medicine
1301 20TH ST, STE 290
SANTA MONICA, CA 90404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Grunwald's NPI number?

The NPI number for Tiffany Grunwald is 1164620100. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Tiffany Grunwald located?

Tiffany Grunwald practices at 1301 20th St Suite 430, Santa Monica, CA 90404. The listed phone number is (310) 828-4646.

What is Tiffany Grunwald's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Tiffany Grunwald enrolled in Medicare?

No. Tiffany Grunwald has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tiffany Grunwald was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.