Kelly Mandavia, MD
NPI 1073722260 · Physician Assistant · Los Angeles, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Mandavia, MD is a Physician Assistant provider in Los Angeles, CA (NPI 1073722260).
Provider details
- NPI number
- 1073722260
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- PA14661 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kelly Mandavia's NPI number?
- Kelly Mandavia's National Provider Identifier (NPI) is 1073722260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Mandavia's specialty?
- Kelly Mandavia is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Mandavia located?
- Kelly Mandavia's practice location on file with NPPES is 4650 W Sunset Blvd, Los Angeles, CA 90027-6062.
- What is Kelly Mandavia's phone number?
- The practice phone number listed in the NPPES registry for Kelly Mandavia is (323) 669-5653.
- Does Kelly Mandavia accept Medicare?
- Kelly Mandavia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Mandavia's NPI active?
- Yes — Kelly Mandavia's NPI (1073722260) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.