| Maria Hannah Tiangha Mandecote, | |
|
3081 Teagarden St, San Leandro, CA 94577-5720 | |
| (510) 347-4620 | |
| Not Available |
| Full Name | Maria Hannah Tiangha Mandecote |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3081 Teagarden St, San Leandro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669192969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95021998 (California) | Primary |
| Entity Name | The Davis Street Community Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215358924 PECOS PAC ID: 6800956079 Enrollment ID: O20141204000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Hannah Tiangha Mandecote, 2506 46th Ave, San Francisco, CA 94116-2601 Ph: () - | Maria Hannah Tiangha Mandecote, 3081 Teagarden St, San Leandro, CA 94577-5720 Ph: (510) 347-4620 |
Lisa Cung, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2410 Merced St, San Leandro, CA 94577 Phone: 510-278-2700 Fax: 510-278-2772 | |
Dr. Elizabeth Macera, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 415-576-8899 | |
Aiko Loo, RN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13939 E 14th St Ste 180, San Leandro, CA 94578 Phone: 510-263-3300 Fax: 510-263-3350 | |
Angela Lynn Serpa, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 510-675-2153 | |
Mrs. Erin Mary Crawford, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Lydia G Andemariam, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13851 E 14th St Ste 206, San Leandro, CA 94578 Phone: 510-351-9373 | |
Bibekanand Gupta, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 Benedict Dr, San Leandro, CA 94577 Phone: 510-708-0415 |