Individual provider

Divya Manivannan, M.D..

Adult Medicine Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Divya Manivannan, M.D.. is an Adult Medicine Physician in Mission Hills, CA, registered under NPI 1164161139. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 11333 SEPULVEDA BLVD, Mission Hills, CA 91345. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11333 SEPULVEDA BLVD, Mission Hills, CA 91345 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
A199096 CA Adult Medicine Physician primary

This provider holds licence A199096 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
3274037304
Enrollment ID
I20250919003760

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Adult Medicine covers

The NUCC recommends this code not be used. Choose a more appropriate code. NUCC Health Care Provider Taxonomy, code 207QA0505X
Allopathic & Osteopathic Physicians Family Medicine Adult Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207QA0505X Adult Medicine Physician Adult Medicine A199096 CA primary
390200000X Student in an Organized Health Care Education/Training Program

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164161139 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 29, 2022
Last updatedSep 11, 2025
StatusActive
Sole proprietorNo
CredentialM.D..
Practice address 11333 SEPULVEDA BLVD
Mission Hills, CA 91345
(818) 869-7254
Fax (818) 869-1723
Mailing address PO BOX 9602
Mission Hills, CA 91346
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1164161139 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 1 6 1 1 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 2 6 2 1 6

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164161139?
NPI 1164161139 is the National Provider Identifier assigned to Divya Manivannan, M.D.. in Mission Hills, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Medicine cover?
The NUCC recommends this code not be used. Choose a more appropriate code.
How do I contact Divya Manivannan, M.D..?
The phone number on file with NPPES is (818) 869-7254, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Divya Manivannan, M.D.. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164161139 a valid number?
Yes. 1164161139 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.