Dr. Divya Manivannan, MD
Dr. Divya Manivannan, MD is a Family Practice in Mission Hills, California. Qualified in 2016, 10 years ago. Practices with Providence Facey Medical Foundation, a 323-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 10
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
11333 Sepulveda BlvdMission Hills, CA 91345-1116
Phone: (818) 869-7254
Fax: (818) 869-1723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X · Licence A199096 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1164161139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 29, 2022 |
| Last updated in NPPES | September 11, 2025 |
| Certification date | September 11, 2025 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Providence Facey Medical Foundation — 323 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Mission Hills
-
Dr. Ashton Mark Garbutt, MD
11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 · (818) 869-7254
-
Ladan Hassanzadeh-Khayyat
11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 · (818) 869-7248
-
Maxime Davis Rappaport, MD
11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 · (818) 365-9531