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

Mamata Sivagnanam, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1932328747

Mamata Sivagnanam, MD is a Gastroenterology in San Diego, California. Graduated from University of Miami, Lm Miller School of Medicine in 2000, 26 years ago. Practices with Rady Children's Hospital San Diego, a 161-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Trained at
University of Miami, Lm Miller School of Medicine
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

8110 Birmingham Way Bldg 28
San Diego, CA 92123-2758
Phone: (858) 966-4003
Fax: (858) 560-6798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence A86863 (CA)

Record details

NPI number1932328747
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2007
Last updated in NPPESNovember 1, 2011

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Rady Children'S Hospital San Diego — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Diego