MARIA HANNAH TIANGHA MANDECOTE
NPI 1669192969
Nurse Practitioner - Family in San Leandro, CA
About Maria Hannah Tiangha Mandecote NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIA HANNAH TIANGHA MANDECOTE (NPI 1669192969) is an individual family provider in San Leandro, California, licensed in California (95021998) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maria Hannah Tiangha Mandecote is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Maria Mandecote reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Leandro, CA 94577
- Reassigned Medicare billing, California enrollment
- 42 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 94577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN LEANDRO, CA 94577
SAN LEANDRO, CA 94577
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 Maria Mandecote's NPI number?
The NPI number for Maria Mandecote is 1669192969. It was assigned to this individual provider in the NPPES registry on August 29, 2022.
Where is Maria Mandecote located?
Maria Mandecote practices at 3081 Teagarden St, San Leandro, CA 94577. The listed phone number is (510) 347-4620.
What is Maria Mandecote's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maria Mandecote enrolled in Medicare?
Yes. Maria Mandecote is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Maria Mandecote's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maria Mandecote reassigns Medicare benefits to The Davis Street Community Center Incorporated (San Leandro, 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 Maria Mandecote'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 Maria Mandecote was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Maria Hannah Tiangha Mandecote · NPI 1669192969
Family physician in San Leandro, California. Individual provider, active in the CMS NPPES registry since August 29, 2022.
## Identity
- **NPI:** 1669192969 (Entity type: Individual)
- **Enumerated:** August 29, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95021998 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3081 TEAGARDEN ST, San Leandro, CA 94577-5720
- **Phone:** (510) 347-4620
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Davis Street Community Center Incorporated (NPI 1215358924, San Leandro, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 29, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1669192969) · Data from the CMS NPPES public registry.