SORAYA MANGONDATO
NPI 1881755072
Nurse Practitioner - Gerontology in San Francisco, CA
About Soraya Mangondato NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SORAYA MANGONDATO (NPI 1881755072) is an individual gerontology provider in San Francisco, California, licensed in California (NP 16166) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
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
Soraya Mangondato 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 Reassignments
2Medicare enrollment records show Soraya Mangondato reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94116
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Daly City, CA 94015
- Reassigned Medicare billing, California enrollment
- 3 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94109 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 FRANCISCO, CA 94109
SAN FRANCISCO, CA 94109
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 Soraya Mangondato's NPI number?
The NPI number for Soraya Mangondato is 1881755072. It was assigned to this individual provider in the NPPES registry on December 12, 2006.
Where is Soraya Mangondato located?
Soraya Mangondato practices at 1333 Bush St, San Francisco, CA 94109. The listed phone number is (415) 292-8888.
What is Soraya Mangondato's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Soraya Mangondato enrolled in Medicare?
Yes. Soraya Mangondato 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 organizations bill Medicare for Soraya Mangondato's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soraya Mangondato reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (San Francisco, CA) and Thomas B Hazlehurst, M.D. (Daly City, 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 Soraya Mangondato'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 Soraya Mangondato was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Soraya Mangondato · NPI 1881755072
Gerontology physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1881755072 (Entity type: Individual)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** NP 16166 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1333 BUSH ST, San Francisco, CA 94109-5611
- **Phone:** (415) 292-8888
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1841373800, San Francisco, CA); Thomas B Hazlehurst, M.D. (NPI 1205846789, Daly City, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1881755072) · Data from the CMS NPPES public registry.