MANDA JULIEANNE NOTZON M.D.
NPI 1295000453
Obstetrics & Gynecology in Pinole, CA

Q: What is Manda Notzon's NPI number?

The NPI number for Manda Notzon is 1295000453. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Q: What is Manda Notzon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Manda Notzon was last updated on December 16, 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 March 20, 2012PECOS EnrolledAccepts Medicare Assignment

1301 PINOLE VALLEY RD, WOMEN'S HEALTH, PINOLE, CA 94564(510) 243-4412 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2021, Aug 25, 2016 (2 updates tracked since 2016).

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About Manda Julieanne Notzon M.d. NPPES

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

MANDA JULIEANNE NOTZON M.D. (NPI 1295000453) is an individual obstetrics & gynecology provider in Pinole, California, licensed in California (143383) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Univ Of Illinois At Chicago College Of Dentistry (2012).

NPPES Registry Identity

NPI1295000453

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMANDA JULIEANNE NOTZONCredential: M.D.

Location Address1301 PINOLE VALLEY RD, WOMEN'S HEALTHPinole, CA 94564-1384

Mailing Address1301 Pinole Valley Rd, Women's HealthPinole, CA 94564-1384 · (510) 243-4412

Phone(510) 243-4412

Sole ProprietorNo

Medical School CMSUniv Of Illinois At Chicago College Of DentistryGraduated 2012

Enumeration DateMarch 20, 2012

Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration

✔ NPI 1295000453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · 143383

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1301 PINOLE VALLEY RD, Pinole, CA 94564

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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

Manda Julieanne Notzon M.d. 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 ID6800184136

PECOS Enrollment IDI20161019001108

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 94564 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

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 18

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

ROTHA SAMOK

Pharmacist