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JAMIL RIGOR MANGONDATO DMD
NPI 1295939239
Dentist in Newark, CA

Active since June 13, 2007Opted out of Medicare · through Jul 13, 2028
35201 NEWARK BLVD, STE E, NEWARK, CA 94560(510) 792-6396(510) 792-4687 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jamil Rigor Mangondato Dmd NPPES

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

JAMIL RIGOR MANGONDATO DMD (NPI 1295939239) is an individual dentist in Newark, California, licensed in California (48148) and active in the NPI registry since June 2007. He has opted out of Medicare through July 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295939239
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJAMIL RIGOR MANGONDATOCredential: DMD
Location Address35201 NEWARK BLVD, STE ENewark, CA 94560
Mailing Address35201 Newark Blvd, Ste ENewark, CA 94560 · (510) 792-6396 · Fax (510) 792-4687
Phone(510) 792-6396
Fax(510) 792-4687
Sole ProprietorNo
Enumeration DateJune 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295939239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 48148
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
35201 NEWARK BLVD, Newark, CA 94560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Jamil Rigor Mangondato Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 13, 2016 through July 13, 2028.

Opt-Out Effective DateJuly 13, 2016
Opt-Out In Effect ThroughJuly 13, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94560 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.

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 Jamil Mangondato's NPI number?

The NPI number for Jamil Mangondato is 1295939239. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Jamil Mangondato located?

Jamil Mangondato practices at 35201 Newark Blvd Ste E, Newark, CA 94560. The listed phone number is (510) 792-6396.

What is Jamil Mangondato's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jamil Mangondato enrolled in Medicare?

No. Jamil Mangondato has opted out of Medicare through July 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jamil Mangondato accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jamil Mangondato as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jamil Mangondato was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.