MICHELE A. LAMANTIA MD
NPI 1124176102
Internal Medicine in San Ysidro, CA

Q: What is Michele Lamantia's NPI number?

The NPI number for Michele Lamantia is 1124176102. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Michele Lamantia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Michele Lamantia was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 January 08, 2007PECOS EnrolledAccepts Medicare Assignment

4004 BEYER BLVD, SAN YSIDRO HEALTH CENTER, SAN YSIDRO, CA 92173(619) 917-7122(619) 474-3722 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Michele A. Lamantia Md NPPES

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

MICHELE A. LAMANTIA MD (NPI 1124176102) is an individual internal medicine provider in San Ysidro, California, licensed in California (G71855) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1989).

NPPES Registry Identity

NPI1124176102

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMICHELE A. LAMANTIACredential: MD

Location Address4004 BEYER BLVD, SAN YSIDRO HEALTH CENTERSan Ysidro, CA 92173-2007

Mailing Address4004 Beyer Blvd, San Ysidro Health CenterSan Ysidro, CA 92173-2007 · (619) 917-7122 · Fax (619) 474-3722

Phone(619) 917-7122

Fax(619) 474-3722

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1989

Enumeration DateJanuary 8, 2007

Last NPPES UpdateJuly 17, 2008

✔ NPI 1124176102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · G71855

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4004 BEYER BLVD, San Ysidro, CA 92173

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Other Identifiers 2

Medicaid00G718550CA

Medicare UPINF33751

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michele A. Lamantia Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294897880

PECOS Enrollment IDI20081216000168

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.

Medicare Billing Reassignment

Medicare enrollment records show Michele Lamantia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro, Inc.

Same address

Federally Qualified Health Center (FQHC)

4004 BEYER BLVD
San Ysidro, CA 92173

Reassigned Medicare billing, California enrollment
577 clinicians in this Medicare group

NPI 1164641965 (619) 662-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC

Clinic/Center (Rural Health)