Sri Phanikanth Mandava, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Santa Barbara Cottage Hospital-Medical Education
400 W Pueblo Street
Santa Barbara, CA 93105

Phone

(805) 569-7315

Fax

(805) 569-8358

NPI assigned

Jun 30, 2020

Last updated

Jun 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1538786108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANTA BARBARA COTTAGE HOSPITAL-MEDICAL EDUCATION",
            "address_2": "400 W PUEBLO STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93105",
            "telephone_number": "805-569-7315",
            "fax_number": "805-569-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA BARBARA COTTAGE HOSPITAL-MEDICAL EDUCATION",
            "address_2": "400 W PUEBLO STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93105",
            "telephone_number": "805-569-7315",
            "fax_number": "805-569-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDAVA",
        "first_name": "SRI",
        "middle_name": "PHANIKANTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Harmon Malinowski, AMFT
• Alan Elie Malki, M.D.
• Gerald Andres Malovos, DDS
• Nicholas Maly
• Debra J Manchester, MSW
• David A Mandel, M.D.
• Harpreet Kaur Mann
• Joseph Jackson Mann, DDS
• Maia Miliani Mann
• Kattya V. Manning, MFT

• Student in an Organized Health Care Education/Training Program in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.