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

Supriya Bavisetty, MD

Individual provider Pediatrics Physician · NPI 1134410103

Supriya Bavisetty, MD is a Pediatrics Physician in Mission Hills, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
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

11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone: (818) 365-9531
Fax: (818) 898-1682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A122963 (CA)

Record details

NPI number1134410103
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2011
Last updated in NPPESSeptember 29, 2015
Mailing addressPo Box 9602, Mission Hills, CA 91346-9602

Other providers in Mission Hills