Active NPI
Dhivya Srinivasa, M.D.
- Plastic Surgery Physician
- Agoura Hills, CA
National Provider Identifier
1649596032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A134641
- Practice address
- 29229 Canwood St Ste 101
Agoura Hills, CA 91301-1503 - Phone
- (818) 336-1295
- NPI assigned
- Apr 11, 2010
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A134641 | CA | Primary |
Addresses
Primary practice location
29229 Canwood St Ste 101
Agoura Hills, CA 91301-1503
Mailing address
5887 Annie Oakley Rd
Hidden Hills, CA 91302-1200
Phone (818) 671-7956
Other practice location 1
2200 Park Bend Dr Ste 200
Austin, TX 78758-5387
Phone (818) 336-1295
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A134641 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Plastic Surgery | Current | Accepting new patients |
| The Institute for Advanced Breast Reconstruction Inc. | Plastic Surgery | Current | Accepting new patients |
| University of California SFGH Medical Group | Current | Accepting new patients |
Locations
1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632
415 Rolling Oaks Dr
Ste 220
Thousand Oaks, CA 91361
Phone (805) 379-9696
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- San Francisco, CA
- NPI 1477528503
Plastic Surgery
-
- Plastic Surgery Physician
- Thousand Oaks, CA
- NPI 1700458973
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
- Surgical Critical Care Physician
- San Francisco, CA
- NPI 1306282975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754697600000",
"number": "1649596032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5887 ANNIE OAKLEY RD",
"city": "HIDDEN HILLS",
"state": "CA",
"postal_code": "913021200",
"telephone_number": "818-671-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29229 CANWOOD ST STE 101",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913011503",
"telephone_number": "818-336-1295"
}
],
"practiceLocations": [
{
"address_1": "2200 Park Bend Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787585387",
"country_code": "US",
"telephone_number": "818-336-1295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SRINIVASA",
"first_name": "DHIVYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-11",
"last_updated": "2025-08-09",
"certification_date": "2025-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A134641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.