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MICHAEL PORT M.D.
NPI 1710005731
Pain Medicine - Pain Medicine in Marina Del Rey, CA

Active since March 27, 2007Opted out of Medicare · through Jul 1, 2028
13160 MINDANAO WAY, SUITE #300, MARINA DEL REY, CA 90292(310) 854-3800(310) 854-3820 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Michael Port M.d. NPPES

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

MICHAEL PORT M.D. (NPI 1710005731) is an individual pain medicine provider in Marina Del Rey, California, licensed in California (G77719) and active in the NPI registry since March 2007. He has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1710005731
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameMICHAEL PORTCredential: M.D.
Location Address13160 MINDANAO WAY, SUITE #300Marina Del Rey, CA 90292-6358
Mailing Address125 Eucalyptus DrEl Segundo, CA 90245-3839
Phone(310) 854-3800
Fax(310) 854-3820
Sole ProprietorYes
Enumeration DateMarch 27, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1710005731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in CA · G77719
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedAnesthesiologyTaxonomy 207L00000X · License G77719 (CA)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael Port 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 July 1, 2020 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2020
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. RICHARD GEORGE BOUDREAU D.D.S.
Dentist (Oral and Maxillofacial Surgery)
13160 MINDANAO WAY, SUITE 120
MARINA DEL REY, CA 90292
Los Angeles County (310) 822-6161
SARAH S. MILLER MD, INCORPORATED
Physical Medicine & Rehabilitation
13160 MINDANAO WAY, SUITE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0400
DAVID KAPLOWITZ MD
Internal Medicine
13160 MINDANAO WAY, SUITE 252
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-4993
MS. LISA ANNE PENNY M.A.
Marriage & Family Therapist
13160 MINDANAO WAY, #300
MARINA DEL REY, CA 90292
Los Angeles County (310) 990-9164
DR. NATALIA MARIA HOMYAK DDS
Dentist (General Practice)
13160 MINDANAO WAY, ROOM 170
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-6400
DR. ROBERT S BRAY JR. M.D.
Neurological Surgery
13160 MINDANAO WAY, SUITE #300
MARINA DEL REY, CA 90292
Los Angeles County (310) 854-3800
DR. RAE L HADLEY PSY.D.
Psychologist (Clinical)
13160 MINDANAO WAY
MARINA DEL REY, CA 90292
Los Angeles County (925) 282-1778
DR. JEREMY SCOTT SUMMERS D.C.
Chiropractor (Sports Physician)
13160 MINDANAO WAY, SUITE 308
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0395

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 Michael Port's NPI number?

The NPI number for Michael Port is 1710005731. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Michael Port located?

Michael Port practices at 13160 Mindanao Way Suite #300, Marina Del Rey, CA 90292. The listed phone number is (310) 854-3800.

What is Michael Port's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Michael Port enrolled in Medicare?

No. Michael Port 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.

When was this NPI record last updated?

The NPPES record for Michael Port was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.