Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant Daniel Shifflett, MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1932423456

Grant Daniel Shifflett, MD is an Orthopedic Surgery in Marina del Rey, California. Graduated from University of Southern California Keck School of Medicine in 2010, 16 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in California, Illinois and New York.

Years since qualifying
16
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA, IL, NY
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13160 Mindanao Way Ste 300
Marina del Rey, CA 90292-6358
Phone: (310) 574-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence A143697 (CA)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence 036138615 (IL)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence 271020 (NY)

Record details

NPI number1932423456
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2010
Last updated in NPPESNovember 10, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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