MARY SIDAVANH NP
NPI 1881588333
Nurse Practitioner - Primary Care in Santa Barbara, CA

Q: What is Mary Sidavanh's NPI number?

The NPI number for Mary Sidavanh is 1881588333. It was assigned to this individual provider in the NPPES registry on June 6, 2025.

Q: What is Mary Sidavanh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Mary Sidavanh was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 June 06, 2025

1125 COAST VILLAGE RD, SANTA BARBARA, CA 93108(805) 364-2814 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Sidavanh Np NPPES

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

MARY SIDAVANH NP (NPI 1881588333) is an individual primary care provider in Santa Barbara, California, licensed in California (95034579) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1881588333

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMARY SIDAVANHCredential: NP

Location Address1125 COAST VILLAGE RDSanta Barbara, CA 93108-2716

Mailing Address1125 Coast Village RdSanta Barbara, CA 93108-2716 · (805) 364-2814

Phone(805) 364-2814

Sole ProprietorYes

Enumeration DateJune 6, 2025

NPPES CertifiedJune 6, 2025

✔ NPI 1881588333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95034579

1125 COAST VILLAGE RD, Santa Barbara, CA 93108

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Other Providers at the Same Location NPPES

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

DR. CORNELIUS MIETUS O.D.

Optometrist (Vision Therapy)

1125 COAST VILLAGE RD
SANTA BARBARA, CA 93108

Santa Barbara County (805) 969-2020

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 Mary Sidavanh's NPI number?

The NPI number for Mary Sidavanh is 1881588333. It was assigned to this individual provider in the NPPES registry on June 6, 2025.

Where is Mary Sidavanh located?

Mary Sidavanh practices at 1125 Coast Village Rd, Santa Barbara, CA 93108. The listed phone number is (805) 364-2814.

What is Mary Sidavanh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Mary Sidavanh was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.