Active NPI
Sirisha Mahankali, M.D.
- Internal Medicine Physician
- Paradise, CA
National Provider Identifier
1861426199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A86678
- Practice address
- 5974 Pentz Rd
Paradise, CA 95969-5509 - Phone
- (530) 877-9361
- NPI assigned
- Jul 11, 2006
- Last updated
- Aug 28, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A86678 | CA | Primary |
Addresses
Primary practice location
5974 Pentz Rd
Paradise, CA 95969-5509
Mailing address
6470 Pentz Rd
Suite a
Paradise, CA 95969-3674
Phone (530) 872-6650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ01920Z | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orohealth Corporation a Non Profit Healthcare System | Internal Medicine | Past | Accepting new patients |
| Paradise Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Internal Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Orohealth Professional Group
- Family Medicine Physician
- Oroville, CA
- NPI 1013933167
Internal Medicine
-
- Family Medicine Physician
- Paradise, CA
- NPI 1235111006
Internal Medicine
-
- Clinical Medical Laboratory
- Berkeley, CA
- NPI 1831381623
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1861426199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6470 PENTZ RD",
"address_2": "SUITE A",
"city": "PARADISE",
"state": "CA",
"postal_code": "959693674",
"telephone_number": "530-872-6650",
"fax_number": "530-872-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5974 PENTZ RD",
"city": "PARADISE",
"state": "CA",
"postal_code": "959695509",
"telephone_number": "530-877-9361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHANKALI",
"first_name": "SIRISHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A86678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ01920Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.