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JUDY D MAMACLAY MD
NPI 1457357618
Internal Medicine - Geriatric Medicine in San Francisco, CA

Active since June 22, 2005PECOS Enrolled
4131 GEARY BLVD, SAN FRANCISCO, CA 94118(415) 418-9114 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2025, Dec 15, 2021 (2 updates tracked since 2021).

About Judy D Mamaclay Md NPPES

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

JUDY D MAMACLAY MD (NPI 1457357618) is an individual geriatric medicine provider in San Francisco, California, licensed in Connecticut (040859) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457357618
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameJUDY D MAMACLAYCredential: MD
Location Address4131 GEARY BLVDSan Francisco, CA 94118-3101
Mailing Address4131 Geary BlvdSan Francisco, CA 94118-3101 · (415) 418-9114
Phone(415) 418-9114
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateMarch 15, 20252 updates tracked since enumeration
NPPES CertifiedMarch 15, 2025
✔ NPI 1457357618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in CT · 040859
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
4131 GEARY BLVD, San Francisco, CA 94118
Open in Google Maps ↗

Other Identifiers 1

Medicaid001408592CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judy D Mamaclay Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94118 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

VINCENT MAN
Pharmacist
4131 GEARY BLVD
SAN FRANCISCO, CA 94118
San Francisco County (415) 833-2000
JESSICA MONYE FONG LIU PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4131 GEARY BLVD
SAN FRANCISCO, CA 94118
San Francisco County (877) 404-5777
MS. JUDITH ANN TOMASSO P.T.
Specialist
4131 GEARY BLVD, 329
SAN FRANCISCO, CA 94118
San Francisco County (415) 833-3065
CLAUDIA JEAN MATTOX P.T.
Physical Therapist
4131 GEARY BLVD, 4TH FLOOR
SAN FRANCISCO, CA 94118
San Francisco County (415) 833-3171
DR. MELANIE ROSE DI CARLO D.P.T.
Physical Therapist
4131 GEARY BLVD
SAN FRANCISCO, CA 94118
San Francisco County (415) 833-2770
COURTNEY JANG PHARMD
Pharmacist
4131 GEARY BLVD
SAN FRANCISCO, CA 94118
San Francisco County (415) 833-0870
JAMIE MARI KUSUMOTO PHARMD
Pharmacist
4131 GEARY BLVD, 1ST FLOOR
SAN FRANCISCO, CA 94118
San Francisco County (415) 833-3649
DR. RACHEL NG
Internal Medicine
4131 GEARY BLVD, RM. 333
SAN FRANCISCO, CA 94118
San Francisco County (415) 833-2000

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 Judy Mamaclay's NPI number?

The NPI number for Judy Mamaclay is 1457357618. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Judy Mamaclay located?

Judy Mamaclay practices at 4131 Geary Blvd, San Francisco, CA 94118. The listed phone number is (415) 418-9114.

What is Judy Mamaclay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Judy Mamaclay enrolled in Medicare?

Yes. Judy Mamaclay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judy Mamaclay was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.