Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AUSTIN MANDOYAN
NPI 1841726148
Family Medicine - Sports Medicine in San Diego, CA

Q: What is Austin Mandoyan's NPI number?

The NPI number for Austin Mandoyan is 1841726148. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Q: What is Austin Mandoyan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Austin Mandoyan was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since May 04, 2017PECOS Enrolled

1809 NATIONAL AVE, SAN DIEGO, CA 92113(619) 515-2300 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 18, 2026, Aug 25, 2021, Aug 6, 2020 (3 updates tracked since 2020).

On this page

About Austin Mandoyan NPPES

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

AUSTIN MANDOYAN (NPI 1841726148) is an individual sports medicine provider in San Diego, California, licensed in California (A161682) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, San Diego School Of Medicine (2017).

NPPES Registry Identity

NPI1841726148

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameAUSTIN MANDOYAN

Location Address1809 NATIONAL AVESan Diego, CA 92113-2113

Mailing Address9518 Mission Gorge Rd, Po Box 710385Santee, CA 92072-7001

Phone(619) 515-2300

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2017

Enumeration DateMay 4, 2017

Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1841726148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Licenses✔ Licensed in CA · A161682✔ Licensed in WA · MD.MD.70158229✔ Licensed in OR · MD232283

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1809 NATIONAL AVE, San Diego, CA 92113

Open in Google Maps ↗

Secondary Practice Locations 2

Location 114406 NE 20th AveVancouver, WA 98686-1448 · Phone (503) 813-2000

Location 210180 SE Sunnyside RdClackamas, OR 97015-8970 · Phone (503) 813-2000

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

Austin Mandoyan 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 ID4981939014

PECOS Enrollment IDI20190711003301

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 92113 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.

ISMAEL LABRA HERNANDEZ

Nutritionist (Nutrition, Education)