Grant D. Shifflett, MD Inc

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

A143697 Issued in CA

Legal business name

GRANT D. SHIFFLETT, MD INC

Practice address

13160 Mindanao Way Ste 300
Marina del Rey, CA 90292-6393

Phone

(310) 574-0400

NPI assigned

Jul 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grant Daniel Shifflett, M.D.

Title

Provider

Phone

(310) 574-0400

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499990400000",
    "number": "1346762903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 170",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "310-881-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "310-574-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT D. SHIFFLETT, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A",
        "authorized_official_last_name": "SHIFFLETT",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "310-574-0400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A143697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gorniowsky, M.D.
• Bahareh Goshayeshi, D.D.S.
• Julie Gould, M.D.
• Carolynn Grainger
• Frances B Gramaje, P.T.
• Grant Stevens, M.D., Inc
• Felicia Greely
• Aniyah Green
• Debora Gregory, CFNP
• Oche Griffin

• Orthopaedic Surgery of the Spine Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.