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

Soraya Mangondato

Individual provider Gerontology Nurse Practitioner · NPI 1881755072

Soraya Mangondato is a Nurse Practitioner in San Francisco, California. Qualified in 2005, 21 years ago. Practices with Thomas B Hazlehurst M D, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1333 Bush St
San Francisco, CA 94109-5611
Phone: (415) 292-8888
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence NP 16166 (CA)

Record details

NPI number1881755072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Thomas B Hazlehurst M D — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Francisco