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DR. HAFID MANTILLA MD
NPI 1629370861
Pediatrics in San Diego, CA

Active since November 19, 2010PECOS Enrolled
10670 WEXFORD ST, SAN DIEGO, CA 92131(858) 499-2600 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2018, Aug 24, 2017 (2 updates tracked since 2017).

About Dr. Hafid Mantilla Md NPPES

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

DR. HAFID MANTILLA MD (NPI 1629370861) is an individual pediatrics provider in San Diego, California, licensed in California (C180533) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629370861
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. HAFID MANTILLACredential: MD
Location Address10670 WEXFORD STSan Diego, CA 92131-3940
Mailing Address5651 Copley Dr Ste ASan Diego, CA 92111-7903 · (858) 262-6072 · Fax (858) 262-6777
Phone(858) 499-2600
Sole ProprietorNo
Enumeration DateNovember 19, 2010
Last NPPES UpdateAugust 4, 20232 updates tracked since enumeration
NPPES CertifiedAugust 4, 2023
✔ NPI 1629370861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · C180533
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10670 WEXFORD ST, San Diego, CA 92131
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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. Hafid Mantilla 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.

Medicare Billing Reassignment

Medicare enrollment records show Hafid Mantilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sharp Rees-Stealy Medical Group, Inc
7.8 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666

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 92131 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

ANGELICA BAYARDO BAYARDO MD
Family Medicine
10670 WEXFORD ST
SAN DIEGO, CA 92131
San Diego County (858) 499-2600
MICHAEL RAY HOLTEL M.D.
Otolaryngology
10670 WEXFORD ST
SAN DIEGO, CA 92131
San Diego County (858) 621-4090
DR. HALEH EBRAHIMI M.D.
Obstetrics & Gynecology
10670 WEXFORD ST
SAN DIEGO, CA 92131
San Diego County (858) 499-2702
JENNY LYNN VESONA M.D.
Obstetrics & Gynecology
10670 WEXFORD ST
SAN DIEGO, CA 92131
San Diego County (858) 499-2600
TRUC-HA DUONG MD
Pediatrics
10670 WEXFORD ST
SAN DIEGO, CA 92131
San Diego County (858) 621-4060
ANGELA WANG-SELFRIDGE
Family Medicine
10670 WEXFORD ST
SAN DIEGO, CA 92131
San Diego County (858) 499-2600
ERIN JONGMIN SONG MD
Internal Medicine (Gastroenterology)
10670 WEXFORD ST
SAN DIEGO, CA 92131
San Diego County (858) 499-2600
RICHARD F CLARK PA
Physician Assistant
10670 WEXFORD ST
SAN DIEGO, CA 92131
San Diego County (858) 624-4040

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 Hafid Mantilla's NPI number?

The NPI number for Hafid Mantilla is 1629370861. It was assigned to this individual provider in the NPPES registry on November 19, 2010.

Where is Hafid Mantilla located?

Hafid Mantilla practices at 10670 Wexford St, San Diego, CA 92131. The listed phone number is (858) 499-2600.

What is Hafid Mantilla's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Hafid Mantilla enrolled in Medicare?

Yes. Hafid Mantilla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hafid Mantilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hafid Mantilla reassigns Medicare benefits to Sharp Rees-Stealy Medical Group, Inc (San Diego, 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 Hafid Mantilla'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 Hafid Mantilla was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.