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LARTILY VITANGCOL MATEO PA-C
NPI 1124250220
Physician Assistant in San Francisco, CA

Active since August 23, 2009PECOS EnrolledAccepts Medicare Assignment
201 SPEAR ST STE 230, SAN FRANCISCO, CA 94105(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2024, Jul 21, 2022, Aug 24, 2017 (3 updates tracked since 2017).

About Lartily Vitangcol Mateo Pa-c NPPES

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

LARTILY VITANGCOL MATEO PA-C (NPI 1124250220) is an individual physician assistant in San Francisco, California, licensed in California (PA20283) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2009).

NPPES Registry Identity

NPI1124250220
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLARTILY VITANGCOL MATEOCredential: PA-C
Location Address201 SPEAR ST STE 230San Francisco, CA 94105-1632
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 2009
Enumeration DateAugust 23, 2009
Last NPPES UpdateApril 9, 20243 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1124250220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA20283
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
201 SPEAR ST STE 230, San Francisco, CA 94105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lartily Vitangcol Mateo Pa-c 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 ID3072816842
PECOS Enrollment IDI20160215001581
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 94105 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 2

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

LAN JIN MD
Internal Medicine
201 SPEAR ST STE 230
SAN FRANCISCO, CA 94105
San Francisco County (415) 503-9277
LAURA RAY SHARP
Nurse Practitioner
201 SPEAR ST STE 230
SAN FRANCISCO, CA 94105
San Francisco County (888) 663-6331

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 Lartily Mateo's NPI number?

The NPI number for Lartily Mateo is 1124250220. It was assigned to this individual provider in the NPPES registry on August 23, 2009.

Where is Lartily Mateo located?

Lartily Mateo practices at 201 Spear St Ste 230, San Francisco, CA 94105. The listed phone number is (888) 663-6331.

What is Lartily Mateo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lartily Mateo enrolled in Medicare?

Yes. Lartily Mateo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lartily Mateo was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.