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KSENIYA ALEKSANDROVNA MANDIC FNP
NPI 1447655014
Nurse Practitioner - Family in Palo Alto, CA

Active since October 24, 2014
875 BLAKE WILBUR DR, PALO ALTO, CA 94304(650) 498-6000 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 27, 2016, May 20, 2016, Mar 4, 2016 (3 updates tracked since 2016).

About Kseniya Aleksandrovna Mandic Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KSENIYA ALEKSANDROVNA MANDIC FNP (NPI 1447655014) is an individual family provider in Palo Alto, California, licensed in California (95003550) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1447655014
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKSENIYA ALEKSANDROVNA MANDICCredential: FNP
Location Address875 BLAKE WILBUR DRPalo Alto, CA 94304-2205
Mailing Address875 Blake Wilbur DrPalo Alto, CA 94304-2205 · (650) 498-6000
Phone(650) 498-6000
Sole ProprietorNo
Enumeration DateOctober 24, 2014
Last NPPES UpdateJune 27, 20163 updates tracked since enumeration
✔ NPI 1447655014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95003550✔ Licensed in ME · CNP141101
875 BLAKE WILBUR DR, Palo Alto, CA 94304
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Other Names 1

Former Name (1)Kseniya Aleksandrovna Levina Np

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLA KLEBANER
Radiology (Radiation Oncology)
875 BLAKE WILBUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 498-6000
ZACHARY TYE NORMAN MD, MBA
Student in an Organized Health Care Education/Training Program
875 BLAKE WILBUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 724-4750
RACHEL BLAIR
Registered Nurse (Ambulatory Care)
875 BLAKE WILBUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 498-6000
JANE EDNA HUANG MD
Internal Medicine (Medical Oncology)
875 BLAKE WILBUR DR, THORACIC ONCOLOGY, CANCER CENTER
PALO ALTO, CA 94304
Santa Clara County (650) 498-6000
DR. ALLISON YUAN ZHONG MD
Radiology (Radiation Oncology)
875 BLAKE WILBUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-6171
HEATHER BERNICE BOULTING ACNPC-AG
Nurse Practitioner
875 BLAKE WILBUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 498-6000
MS. MELISSA VIATORI N.P.
Nurse Practitioner
875 BLAKE WILBUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 498-6000
CHARUL SHAH RN
Registered Nurse (Oncology)
875 BLAKE WILBUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 725-1860

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 Kseniya Mandic's NPI number?

The NPI number for Kseniya Mandic is 1447655014. It was assigned to this individual provider in the NPPES registry on October 24, 2014. The provider is also known as Kseniya Aleksandrovna Levina Np.

Where is Kseniya Mandic located?

Kseniya Mandic practices at 875 Blake Wilbur Dr, Palo Alto, CA 94304. The listed phone number is (650) 498-6000.

What is Kseniya Mandic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kseniya Mandic was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.