DR. WILLIAM GRANT STEVENS M.D.
NPI 1689709008
Specialist in Marina Del Rey, CA

Q: What is William Stevens's NPI number?

The NPI number for William Stevens is 1689709008. It was assigned to this individual provider in the NPPES registry on February 23, 2007. The provider is also known as Dr. Grant Stevens M.D..

Q: What is William Stevens's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is William Stevens enrolled in Medicare?

No. William Stevens has opted out of Medicare through December 1, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for William Stevens was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 23, 2007Opted out of Medicare · through Dec 1, 2027

4644 LINCOLN BLVD STE 552, MARINA DEL REY, CA 90292(310) 827-2653(310) 827-1493 Get Directions Write a Review

NPPES record last updated: October 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. William Grant Stevens M.d. NPPES

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

DR. WILLIAM GRANT STEVENS M.D. (NPI 1689709008) is an individual specialist in Marina Del Rey, California, licensed in California (G45892) and active in the NPI registry since February 2007. He has opted out of Medicare through December 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689709008

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. WILLIAM GRANT STEVENSCredential: M.D.

Location Address4644 LINCOLN BLVD STE 552Marina Del Rey, CA 90292-6391

Mailing Address4644 Lincoln Blvd Ste 552Marina Del Rey, CA 90292-6391 · (310) 827-2653 · Fax (310) 827-1493

Phone(310) 827-2653

Fax(310) 827-1493

Sole ProprietorNo

Enumeration DateFebruary 23, 2007

Last NPPES UpdateOctober 20, 2010

✔ NPI 1689709008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G45892

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4644 LINCOLN BLVD STE 552, Marina Del Rey, CA 90292

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Other Names 1

Professional Name (2)Dr. Grant Stevens M.d.

Other Identifiers 1

Other954748839CA · Tin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. William Grant Stevens M.d. 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 December 1, 2015 through December 1, 2027.

Opt-Out Effective DateDecember 1, 2015

Opt-Out In Effect ThroughDecember 1, 2027Opt-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 2

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

LAURA K PIETRZAK PA-C

Physician Assistant (Surgical)

4644 LINCOLN BLVD STE 552
MARINA DEL REY, CA 90292

Los Angeles County (310) 827-2653

DR. JONATHAN KANEVSKY MD

Plastic Surgery

4644 LINCOLN BLVD STE 552
MARINA DEL REY, CA 90292

Los Angeles County (514) 458-7548

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 William Stevens's NPI number?

The NPI number for William Stevens is 1689709008. It was assigned to this individual provider in the NPPES registry on February 23, 2007. The provider is also known as Dr. Grant Stevens M.D..

Where is William Stevens located?

William Stevens practices at 4644 Lincoln Blvd Ste 552, Marina Del Rey, CA 90292. The listed phone number is (310) 827-2653.

What is William Stevens's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is William Stevens enrolled in Medicare?

No. William Stevens has opted out of Medicare through December 1, 2027. 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 William Stevens was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.