LEAH SANTIANEZ MANANGAT APRN
NPI 1417436197
Nurse Practitioner - Family in Modesto, CA

Active since August 13, 2018PECOS Enrolled
3320 TULLY RD, MODESTO, CA 95350(209) 572-6900 Get Directions Write a Review

NPPES record last updated: August 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2021, Oct 15, 2021, Jan 11, 2019 and 1 more (4 updates tracked since 2018).

About Leah Santianez Manangat Aprn NPPES

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

LEAH SANTIANEZ MANANGAT APRN (NPI 1417436197) is an individual family provider in Modesto, California, licensed in California (95010433) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417436197
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEAH SANTIANEZ MANANGATCredential: APRN
Location Address3320 TULLY RDModesto, CA 95350-0800
Mailing Address3320 Tully RdModesto, CA 95350-0800 · (209) 572-6900
Sole ProprietorYes
Enumeration DateAugust 13, 2018
Last NPPES UpdateAugust 31, 20244 updates tracked since enumeration
NPPES CertifiedAugust 31, 2024
✔ NPI 1417436197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95010433✔ Licensed in TN · APN0000024582
3320 TULLY RD, Modesto, CA 95350

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leah Santianez Manangat Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Leah Manangat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1801 TULLY RD STE F1
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group

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 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 6

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

Nurse Practitioner (Family)
3320 TULLY RD
MODESTO, CA 95350
Nurse Practitioner
3320 TULLY RD
MODESTO, CA 95350
Hospitalist
3320 TULLY RD
MODESTO, CA 95350
Physician Assistant
3320 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Family)
3320 TULLY RD
MODESTO, CA 95350
Nurse Practitioner (Family)
3320 TULLY RD
MODESTO, CA 95350

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 Leah Manangat's NPI number?

The NPI number for Leah Manangat is 1417436197. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Leah Manangat located?

Leah Manangat practices at 3320 Tully Rd, Modesto, CA 95350. The listed phone number is (209) 572-6900.

What is Leah Manangat's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leah Manangat enrolled in Medicare?

Yes. Leah Manangat is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leah Manangat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Manangat reassigns Medicare benefits to Golden Valley Health Center (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leah Manangat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leah Manangat was last updated on August 31, 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.