Doctor profile · Federal record
Dr. Tatiana Mamantov, MD
Emergency Medicine Physician (CMS: Emergency Medicine) · Castro Valley, CA
- NPI 1629069059
- Accepts Medicare
- MIPS 73.6 / 100 · 2023
- 42 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
20103 Lake Chabot RD
Castro Valley, CA 945465341
(209) 342-2300
fax (209) 524-4240 - Mailing address
-
4301 Northstar Way
Modesto, CA 953569262
Credentials & registration
- NPI registered
- November 2005 — 21 yrs on file
- Profile last updated
- July 30, 2008
- Year of graduation
- 1984 — 42 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- California #G85179
- Medicaid
- CA #00G851790
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629069059. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
23
Distinct HCPCS
1
Medicare allowed
$3,169
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 23 | 23 | $138 |
In context: peer comparison
Among 9 peers in Castro Valley Emergency Medicine Physician, average services per provider: 94. This provider delivers 0.2× the peer median.Frequently asked questions
What is Dr. Tatiana Mamantov's medical specialty?
Dr. Tatiana Mamantov practices Emergency Medicine Physician in Castro Valley, CA.
Where does Dr. Tatiana Mamantov practice?
Dr. Tatiana Mamantov practices at 20103 Lake Chabot RD, Castro Valley, CA 945465341. Office phone: 2093422300.
What is Dr. Tatiana Mamantov's NPI?
Dr. Tatiana Mamantov's National Provider Identifier (NPI) is 1629069059, issued by NPPES.
Does Dr. Tatiana Mamantov accept Medicare assignment?
Yes. Dr. Tatiana Mamantov accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tatiana Mamantov commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.