East County Family Health Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A55926 Issued in CA

Legal business name

EAST COUNTY FAMILY HEALTH CENTER INC

Practice address

330 S. Magnolia Ave. Suite 101
El Cajon, CA 92020

Phone

(619) 861-4123

Fax

(858) 676-0035

NPI assigned

Jul 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mumtaz Almansour, MDNPI 1558567446

Title

MD

Phone

(619) 620-5632

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mumtoy Al Mansous MD Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Dr Mumatz Almansour2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East County Health Center Inc

  • Non-Pharmacy Dispensing Site
  • El Cajon, CA
  • NPI 1114286226
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mumtaz Thomas Almansour, M.D.

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1558567446
  Medicare reassignment Care Compare group Authorized official
• Wasim Mansour, D.O.

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1649627696
  Medicare reassignment Care Compare group NPD
• Anmar Afif Mansour, M.D.

  • Obstetrics & Gynecology Physician
  • San Diego, CA
  • NPI 1881617884
  NPD (past)
• Ghazi S. Shaba, MD

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1649328469
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1023022092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S. MAGNOLIA AVE. SUITE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-861-4123",
            "fax_number": "858-676-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S. MAGNOLIA AVE. SUITE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-861-4123",
            "fax_number": "858-676-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COUNTY FAMILY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "ALMANSOUR",
        "authorized_official_first_name": "MUMTAZ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "619-620-5632",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A55926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A559261",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mumtoy Al Mansous MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mumtoy Al Mansous MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Earth Elements Acupuncture, Inc.
• East County Center for Change
• East County Dermatology Medical Group Inc
• East County Endodontics
• East County Family Counseling, LLC
• East County Fire Protection District
• East County Health Center Inc
• East County Mental Health Clinic
• East County Mental Health Clinic
• East County Mobile Physical Therapy Inc.

• Family Medicine Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.