Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lartily Vitangcol Mateo, PA-C

Individual provider Physician Assistant · NPI 1124250220

Lartily Vitangcol Mateo, PA-C is a Physician Assistant in San Francisco, California. Graduated from Stanford University School of Medicine in 2009, 17 years ago. Practices with One Medical Group Inc, a 328-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
17
Trained at
Stanford University School of Medicine
Licensed in
CA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

201 Spear St Ste 230
San Francisco, CA 94105-1632
Phone: (888) 663-6331
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA20283 (CA)

Record details

NPI number1124250220
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 23, 2009
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice One Medical Group Inc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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