Organization Active NPI

Shalini Yalamanchi, MD PC

  • Retina Specialist (Ophthalmology) Physician
  • Santa Rosa, CA
National Provider Identifier
1457948564
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
SHALINI YALAMANCHI, MD PC
Practice address
3536 Mendocino Ave Ste 380
Santa Rosa, CA 95403-3612
Phone
(707) 575-5353
Fax
(707) 523-7729
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Dr. Shalini Yalamanchi, MDNPI 1013123595
Title
MD/Owner
Phone
(707) 575-5353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

3536 Mendocino Ave Ste 380
Santa Rosa, CA 95403-3612

Mailing address

3536 Mendocino Ave Ste 380
Santa Rosa, CA 95403-3612
Phone (707) 575-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210119001321 CA Part B Supplier - Clinic/Group Practice 0547673279 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Rosa, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1457948564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE STE 380",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033612",
            "telephone_number": "707-575-5353",
            "fax_number": "707-523-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE STE 380",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033612",
            "telephone_number": "707-575-5353",
            "fax_number": "707-523-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALINI YALAMANCHI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHI",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "707-575-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.