Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669760468 Individual Practitioner Female Practitioner

Dr. Kanti Sri Vittala , MD

Pediatrics • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Kanti Vittala, MD is a registered healthcare professional specializing in Pediatrics in Mesa, AZ. Practice services are available at 1400 S DOBSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 S Dobson Rd

Mesa, AZ 852024707

Telephone 4804125437
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.1 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
64 Specialists

Practicing in Mesa, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 50690

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CA A128129

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Pankaj Jain , MD

Pediatrics - Pediatric Cardiology

NPI 1174941108

Doctor of Medicine (M.D.)

Dr. Sarah Lau-Braunhut , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1184010464

Doctor of Medicine (M.D.)

Dr. Rachel Haake , MD

Anesthesiology - Pediatric Anesthesiology

NPI 1538385265

Doctor of Medicine (M.D.)

Dr. Maure Schuhardt , DPT

Physical Therapist - Pediatrics

NPI 1710234091

Doctor of Physical Therapy

Melanie Ryan , FNP-C

Pediatrics - Child Abuse Pediatrics

NPI 1902429012

Family Nurse Practitioner (Certified)

Alisa Wang

Speech-Language Pathologist

NPI 1972027167

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 02, 2019

Registered at 1400 S DOBSON RD, MESA, AZ 852024707 (Tel: 4804125437)

📍
Updated Business Mailing Address January 02, 2019

Registered at 1790 S VILLAS LN, CHANDLER, AZ 852868416

👤
Provider Name / Credentials Updated January 02, 2019

Recorded as KANTI VITTALA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2019

Student in an Organized Health Care Education/Training Program

NPI Profile Active June 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2015

Registered at 3020 CHILDRENS WAY, SAN DIEGO, CA 921234223 (Tel: 4807850649)

📍
Updated Business Mailing Address June 12, 2015

Registered at 11556 COMPASS POINT DR N, APT 41, SAN DIEGO, CA 921268552 (Tel: 4807850649)

👤
Provider Name / Credentials Updated June 12, 2015

Recorded as SATYA VITTALA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2015

Pediatrics (License #A128129 in CA)

🟢
Initial NPI Registration & Enumeration July 13, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669760468
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2011
Last Update: January 02, 2019
Sole Proprietor: No

Mailing Address

1790 S Villas Ln

Chandler, AZ 852868416

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.