Active NPI
Mamatha Chivukula, MD
- Anatomic Pathology & Clinical Pathology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- C54789
- Practice address
- 1825 4TH St
San Francisco, CA 94143-2350 - Phone
- (415) 353-1613
- NPI assigned
- Feb 7, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD424156 | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C54789 | CA | Primary |
| Specialist | 174400000X | C54789 | CA |
Addresses
Primary practice location
1825 4TH St
San Francisco, CA 94143-2350
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Other practice location 1
393 E Grand Ave
Ste a
South San Francisco, CA 94080-6233
Phone (651) 616-2955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101241039 | Medicaid | PA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029
Hospital & facility affiliations
- UCSF Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54789 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients |
Locations (25 of 26)
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
1783 El Camino Real
Burlingame, CA 94010
Phone (650) 696-5400
1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585
383 E Grand Ave
Ste A
South San Francisco, CA 94080
Phone (650) 616-2951
393 E Grand Ave
Ste A
South San Francisco, CA 94080
Phone (651) 616-2955
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
Interoperability endpoints
- mchivukula449643@direct-ucsfmedicalcenter.org
- mchivukula21181@smch.direct-ci.com
Organizations & group practices 11
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.
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Community/Behavioral Health Agency
- Redwood City, CA
- NPI 1528432481
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Surgery Physician
- San Francisco, CA
- NPI 1346329380
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1750353280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-288-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 4TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432350",
"telephone_number": "415-353-1613"
}
],
"practiceLocations": [
{
"address_1": "393 E GRAND AVE",
"address_2": "STE A",
"address_purpose": "LOCATION",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940806233",
"country_code": "US",
"telephone_number": "651-616-2955",
"fax_number": "650-737-8920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIVUKULA",
"first_name": "MAMATHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD424156",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "C54789",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "C54789",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101241039",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.