DR. MELANCHTON ATIGA MANGOBA M.D.
NPI 1376605717
Internal Medicine in Riverside, CA

Q: What is Melanchton Mangoba's NPI number?

The NPI number for Melanchton Mangoba is 1376605717. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Melanchton Mangoba's specialty?

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

Active since December 14, 2006PECOS EnrolledCLIA 05D1089700 · Waiver

3838 SHERMAN DR STE 2, RIVERSIDE, CA 92503(951) 686-3437(951) 686-8155 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, Mar 5, 2025, Jan 21, 2019 (3 updates tracked since 2019).

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About Dr. Melanchton Atiga Mangoba M.d. NPPES

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

DR. MELANCHTON ATIGA MANGOBA M.D. (NPI 1376605717) is an individual internal medicine provider in Riverside, California, licensed in California (A95444) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 6, 2027, and is a graduate of Loma Linda University School Of Medicine (2004).

NPPES Registry Identity

NPI1376605717

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MELANCHTON ATIGA MANGOBACredential: M.D.

Location Address3838 SHERMAN DR STE 2Riverside, CA 92503-4001

Mailing Address3838 Sherman Dr Ste 2Riverside, CA 92503-4001 · (951) 686-3437 · Fax (951) 686-8155

Phone(951) 686-3437

Fax(951) 686-8155

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 2004

Enumeration DateDecember 14, 2006

Last NPPES UpdateJune 24, 20253 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1376605717 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 · A95444

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.

3838 SHERMAN DR STE 2, Riverside, CA 92503

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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 (PECOS)

Dr. Melanchton Atiga Mangoba M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224113139

PECOS Enrollment IDI20080317000164

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1089700

Melanchton A Mangoba MD · Riverside, CA

Active · expires Nov 6, 2027

CLIA Number05D1089700

Laboratory TypePhysician Office

Certificate Effective DateNovember 7, 2025

Certificate Expiration DateNovember 6, 2027

Laboratory DirectorMelanchton A. Mangoba

Laboratory Phone(951) 686-3437

Laboratory LocationMelanchton A Mangoba MD3838 Sherman Dr Suite #2, Riverside, CA 92503

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

478 services72 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

83 services35 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

Referred Medical Equipment & Supplies CMS DME claims 29

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers11 claims11 services$20.04 avg. paid by Medicare

Urinary catheter anchoring device, adhesive skin attachment, each A4333

DME-Orthotic Devices · category DF000N

3 suppliers14 claims168 services$1.84 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

3 suppliers14 claims17 services$8.28 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier12 claims220 services$3.30 avg. paid by Medicare

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

2 suppliers15 claims1,248 services$0.10 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

3 suppliers12 claims3,200 services$0.37 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier12 claims495 services$0.21 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010