Active NPI
Kendall Anne Shifflett, MD
- Family Medicine Physician
- Santa Cruz, CA
National Provider Identifier
1598393845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A192405
- Practice address
- 615 Ocean St
Santa Cruz, CA 95060-4005 - Phone
- (831) 425-7991
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A192405 | CA | Primary |
Addresses
Primary practice location
615 Ocean St
Santa Cruz, CA 95060-4005
Mailing address
100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000
Other practice location 1
1505 Main St
Watsonville, CA 95076-3761
Phone (831) 722-1444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231127000547 | CA | Order and Referring Only - Family Practice | 3779931100 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Wilson Rd
Suite 100
Monterey, CA 93940-7885
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1598393845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILSON RD STE 100",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939407885",
"telephone_number": "831-649-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 OCEAN ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604005",
"telephone_number": "831-425-7991"
}
],
"practiceLocations": [
{
"address_1": "1505 Main St",
"address_purpose": "LOCATION",
"city": "Watsonville",
"state": "CA",
"postal_code": "950763761",
"country_code": "US",
"telephone_number": "831-722-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIFFLETT",
"first_name": "KENDALL",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A192405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.