1. Home
  2. Directory
  3. California
  4. Marina Del Rey
  5. Orthopaedic Surgery
  6. NPI Profile

GRANT DANIEL SHIFFLETT M.D.
NPI 1932423456
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Marina Del Rey, CA

Active since March 26, 2010Opted out of Medicare · through Feb 24, 2028
13160 MINDANAO WAY, SUITE 300, MARINA DEL REY, CA 90292(310) 574-0400 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grant Daniel Shifflett M.d. NPPES

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

GRANT DANIEL SHIFFLETT M.D. (NPI 1932423456) is an individual orthopaedic surgery of the spine provider in Marina Del Rey, California, licensed in California (A143697) and active in the NPI registry since March 2010. He has opted out of Medicare through February 24, 2028 and remains eligible to order and refer and is a graduate of University Of Southern California Keck School Of Medicine (2010).

NPPES Registry Identity

NPI1932423456
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameGRANT DANIEL SHIFFLETTCredential: M.D.
Location Address13160 MINDANAO WAY, SUITE 300Marina Del Rey, CA 90292-6358
Mailing Address13160 Mindanao Way, Suite 300Marina Del Rey, CA 90292-6358 · (310) 574-0400
Phone(310) 574-0400
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2010
Enumeration DateMarch 26, 2010
Last NPPES UpdateNovember 10, 2016
✔ NPI 1932423456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Licenses✔ Licensed in CA · A143697✔ Licensed in IL · 036138615✔ Licensed in NY · 271020
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
13160 MINDANAO WAY, Marina Del Rey, CA 90292
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Grant Daniel Shifflett 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 February 24, 2022 through February 24, 2028.

Opt-Out Effective DateFebruary 24, 2022
Opt-Out In Effect ThroughFebruary 24, 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.

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 Grant Shifflett's NPI number?

The NPI number for Grant Shifflett is 1932423456. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Where is Grant Shifflett located?

Grant Shifflett practices at 13160 Mindanao Way Suite 300, Marina Del Rey, CA 90292. The listed phone number is (310) 574-0400.

What is Grant Shifflett's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Grant Shifflett enrolled in Medicare?

No. Grant Shifflett has opted out of Medicare through February 24, 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 Grant Shifflett was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.