KEVIN DALE MANGUM MD
NPI 1295399186
Surgery - Vascular Surgery in San Francisco, CA
About Kevin Dale Mangum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN DALE MANGUM MD (NPI 1295399186) is an individual vascular surgery provider in San Francisco, California, licensed in California (4351044158) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin Dale Mangum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Mangum's NPI number?
The NPI number for Kevin Mangum is 1295399186. It was assigned to this individual provider in the NPPES registry on April 25, 2019.
Where is Kevin Mangum located?
Kevin Mangum practices at 400 Parnassus Ave Ste A581, San Francisco, CA 94143. The listed phone number is (919) 609-8069.
What is Kevin Mangum's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Kevin Mangum enrolled in Medicare?
Yes. Kevin Mangum is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kevin Mangum was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kevin Dale Mangum, MD · NPI 1295399186
Vascular Surgery physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since April 25, 2019.
## Identity
- **NPI:** 1295399186 (Entity type: Individual)
- **Enumerated:** April 25, 2019
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** 4351044158 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 PARNASSUS AVE STE A581, San Francisco, CA 94143-2202
- **Phone:** (919) 609-8069
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295399186) · Data from the CMS NPPES public registry.