SHINY MANDLA DO
NPI 1720166440
Pediatrics in Elk Grove, CA

Q: What is Shiny Mandla's NPI number?

The NPI number for Shiny Mandla is 1720166440. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Shiny Mandla's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shiny Mandla was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 01, 2006PECOS Enrolled

9201 BIG HORN BLVD, ELK GROVE, CA 95758(916) 478-5000 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shiny Mandla Do NPPES

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

SHINY MANDLA DO (NPI 1720166440) is an individual pediatrics provider in Elk Grove, California, licensed in California (20A6954) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720166440

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHINY MANDLACredential: DO

Location Address9201 BIG HORN BLVDElk Grove, CA 95758-1240

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262

Phone(916) 478-5000

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateNovember 30, 2021

✔ NPI 1720166440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · 20A6954

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

9201 BIG HORN BLVD, Elk Grove, CA 95758

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Other Identifiers 1

Medicaid00AX69540CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shiny Mandla Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KIMBERLY T JOHNSON LCSW

Social Worker (Clinical)