Kelly C. Mandavia, MD
Physician Assistant · Los Angeles, CA
Kelly C. Mandavia, MD is a physician assistant with a practice address in Los Angeles, California, and NPI 1073722260, issued on May 22, 2007. Check the license (California PA14661, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly C. Mandavia
- Credential
- MD
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA14661 CA
Self-reported in NPPES; status is on the state search - Practice location
- 4650 W Sunset Blvd, Los Angeles, CA 90027
- Phone
- (323) 669-5653
- Enumerated
- May 22, 2007
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20240518000459); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Also registered at 4650 W Sunset Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kelly C. Mandavia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PA14661Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
One hospital affiliation
- Cedars-Sinai Medical CenterWest Hollywood, CA · Acute Care Hospitals5 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Kelly C. Mandavia among 14,451 physician assistant records in California
Kelly C. Mandavia, MD is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 13% of them.
- NPI issued2007 · 13% of these records are older, 78% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated1997 · median 2018 among the 7,214 with a school on file
- Record last updated2007 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
935 physician assistant records list a practice address in Los Angeles
They are 935 of the 69,537 NPPES records with a practice address in Los Angeles, and 14,451 physician assistant records in California.
All 14,451 in California → Every provider in Los Angeles → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Pamela Burian, PALos Angeles, CA 900271942210893
- Maurice Carretta, PALos Angeles, CA 900271619025566
- Tina Chin, PALos Angeles, CA 900271881753507
- William Cook, PALos Angeles, CA 900271861540783
- Robert Fierro, PALos Angeles, CA 900271497871644
- Aaron Furey, PALos Angeles, CA 900271669549432
- Holly Green, PALos Angeles, CA 900271710072251
- Wipada La, P.A.Los Angeles, CA 900271295885655
Common questions
What is Kelly C. Mandavia, MD's NPI number?
Kelly C. Mandavia, MD's National Provider Identifier (NPI) is 1073722260, issued on May 22, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Kelly C. Mandavia, MD located?
The NPPES record lists a practice address at 4650 W Sunset Blvd, Los Angeles, CA, 90027. Phone: (323) 669-5653. Providers update this record themselves, so call before visiting.
How can I verify Kelly C. Mandavia, MD's license?
NPPES lists California license number PA14661, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.