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DR. AMANDA MICHELLE MANCILLA
NPI 1619567948
Optometrist in La Puente, CA

Active since January 20, 2021PECOS Enrolled
15330 AMAR RD, LA PUENTE, CA 91744(626) 961-0432 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Amanda Michelle Mancilla NPPES

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

DR. AMANDA MICHELLE MANCILLA (NPI 1619567948) is an individual optometrist in La Puente, California, licensed in California (34761) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619567948
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AMANDA MICHELLE MANCILLA
Location Address15330 AMAR RDLa Puente, CA 91744-2001
Mailing Address14220 Beckner StLa Puente, CA 91746-2604 · (626) 483-9555
Phone(626) 961-0432
Sole ProprietorYes
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
✔ NPI 1619567948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 34761
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
15330 AMAR RD, La Puente, CA 91744
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Michelle Mancilla 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 Reassignments

2

Medicare enrollment records show Amanda Mancilla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward P. & Diane M. Hernandez
Same address
Optometrist
15330 AMAR RD STE A
La Puente, CA 91744
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
NPI 1568671774 (626) 961-0432
Southern California Medical Center, Inc.
4.1 mi
Community Health
12100 VALLEY BLVD STE 109A
El Monte, CA 91732
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group
NPI 1225357114 (626) 575-7500

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 91744 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

LOURDES SILVA SAID
Optometrist
15330 AMAR RD
LA PUENTE, CA 91744
Los Angeles County (626) 961-0432

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 Amanda Mancilla's NPI number?

The NPI number for Amanda Mancilla is 1619567948. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Amanda Mancilla located?

Amanda Mancilla practices at 15330 Amar Rd, La Puente, CA 91744. The listed phone number is (626) 961-0432.

What is Amanda Mancilla's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Amanda Mancilla enrolled in Medicare?

Yes. Amanda Mancilla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Mancilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Mancilla reassigns Medicare benefits to 2 organizations: Edward P. & Diane M. Hernandez (La Puente, CA) and Southern California Medical Center, Inc. (El Monte, CA). Each 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 Amanda Mancilla'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 Amanda Mancilla was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.