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

Kelly C Mandavia, MD

Individual provider Physician Assistant · NPI 1073722260

Kelly C Mandavia, MD is a Physician Assistant in Los Angeles, California. Qualified in 1997, 29 years ago. Practices with Cedars-Sinai Medical Center, a 795-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2007
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

4650 W Sunset Blvd Ms# 54
Los Angeles, CA 90027-6062
Phone: (323) 669-5653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14661 (CA)

Record details

NPI number1073722260
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Cedars-Sinai Medical Center — 795 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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