GRANT D. SHIFFLETT, MD INC (NPI# 1346762903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346762903 |
| Entity Type | Organization |
| Organization Name | GRANT D. SHIFFLETT, MD INC |
| Practice Address |
13160 Mindanao Way Ste 300 Marina Del Rey CA 90292-6393 |
| Mailing Address |
13160 Mindanao Way Ste 170 Marina Del Rey CA 90292-6393 |
| Practice Telephone | 3105740400 |
| Mailing Telephone | 3108813688 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | GRANT DANIEL SHIFFLETT (PROVIDER) |
| Authorized Official Telephone | 3105740400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A143697 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
13160 MINDANAO WAY STE 300 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457414989 | Dennis Yun | Anesthesiology | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2006-12-18 |
| 1942776307 | Alexis E. Dixon, Md, Inc | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2018-10-23 |
| 1851866511 | Elaine Kim | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2018-10-09 |
| 1669984365 | Rojeh Melikian, Md Inc | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2017-11-02 |
| 1184134892 | Marina Ortho, Inc. | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2017-10-08 |
| 1720535255 | George T Cyril M.d., Inc | Physical Medicine & Rehabilitation | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2016-09-01 |
| 1720323264 | Ba Pain Management | Anesthesiology | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2012-12-11 |
| 1013273002 | Akash Bajaj Md Inc, A California Professional Medical Corporation | Non-Pharmacy Dispensing Site | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2012-04-04 |
| 1770856809 | Glenn Martin Lipton, Md, Amc | Pain Medicine | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2012-02-21 |
| 1306073838 | Rojeh Melikian | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292 | 2009-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866511 | Elaine Kim | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2018-10-09 |
| 1669984365 | Rojeh Melikian, Md Inc | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2017-11-02 |
| 1932423456 | Grant Daniel Shifflett | Orthopaedic Surgery | 13160 Mindanao Way, Suite 300, Marina Del Rey, CA 90292-6358 | 2010-03-26 |
| 1255529129 | David Chang, M.d. Ortho Spine Inc. | Orthopaedic Surgery | 13160 Mindanao Way, Suite 325, Marina Del Rey, CA 90292-6358 | 2007-10-04 |
| 1467575472 | David Chang | Orthopaedic Surgery | 4640 Admiralty Way, Suite 600, Marina Del Rey, CA 90292-6621 | 2007-04-06 |
| 1952440505 | Robert Green Watkins IIi | Orthopaedic Surgery | 4640 Admiralty Way, Suite 600, Marina Del Rey, CA 90292-6621 | 2007-02-06 |
| 1336288992 | Robert Green Watkins Iv | Orthopaedic Surgery | 4640 Admiralty Way, Suite 600, Marina Del Rey, CA 90292-6621 | 2007-02-06 |
| 1831145937 | Sanjay Kumar Khurana | Orthopaedic Surgery | 13160 Mindanao Way, Suite 300, Marina Del Rey, CA 90292-6358 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| Find all providers with the same taxonomy | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.