Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Ann Mandeville, MD

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1649355397

Katherine Ann Mandeville, MD is a Pediatric Emergency Medicine (Pediatrics) Physician in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3020 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 966-8036
Fax: (858) 966-7433
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Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence C149595 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence C149595 (CA)

Record details

NPI number1649355397
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 21, 2022

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