MARIA HANNAH TIANGHA MANDECOTE
NPI 1669192969
Nurse Practitioner - Family in San Leandro, CA

Q: 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.

Q: What is Maria Mandecote's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maria Mandecote was last updated on August 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment

3081 TEAGARDEN ST, SAN LEANDRO, CA 94577(510) 347-4620 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1669192969

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIA HANNAH TIANGHA MANDECOTE

Location Address3081 TEAGARDEN STSan Leandro, CA 94577-5720

Mailing Address2506 46th AveSan Francisco, CA 94116-2601

Phone(510) 347-4620

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 29, 2022

NPPES CertifiedAugust 29, 2022

✔ NPI 1669192969 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

License✔ Licensed in CA · 95021998

3081 TEAGARDEN ST, San Leandro, CA 94577

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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2567833528

PECOS Enrollment IDI20230130002261

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 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.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

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.

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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.

DEVONNA JACOBS

Counselor