NPIMap

Individual provider Active NPI

Craig S Mansour, MD

  • Cardiovascular Disease Physician
  • Ventura, CA
National Provider Identifier
1063516235
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A82165 Issued in CA
Practice address
100 N Brent St
Ste 301
Ventura, CA 93003
Phone
(805) 648-2763
Fax
(805) 653-5639
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A82165 CA Primary

Addresses

Primary practice location

100 N Brent St
Ste 301
Ventura, CA 93003

Mailing address

100 N Brent St
Ste 301
Ventura, CA 93003
Phone (805) 653-0101

Other practice location 1

1701 Solar Dr Ste 150
Oxnard, CA 93030-0138
Phone (805) 278-4020

Other identifiers 2

IdentifierTypeStateIssuer
00WA82165AMedicaidCA
A82165OtherCASTATE OF CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909001371 CA Practitioner - Cardiovascular Disease (Cardiology) 9032185004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of California, Irvine, California College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates Medical GroupGroup PAC ID 6507763471, 13 clinicians

Practice addresses (Care Compare)

168 N Brent St
Suite 503
Ventura, CA 93003-2840
Phone (805) 653-0101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A82165CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Dec 6, 2006 Accepting new patients
Cardiology Associates Medical Group CurrentSince Jan 1, 2020 Accepting new patients
Community Memorial Health System CurrentSince Dec 6, 2006 Accepting new patients

Locations

5800 Santa Rosa Rd
Ste 149
Camarillo, CA 93012
Phone (805) 465-8900

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

852 W Ventura St
Fillmore, CA 93015
Phone (805) 524-2672

2361 E Vineyard Ave
Oxnard, CA 93036
Phone (805) 981-3770

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505

1701 Solar Dr
Ste 150
Oxnard, CA 93030
Phone (805) 278-4020

242 E Harvard Blvd
Ste C
Santa Paula, CA 93060
Phone (805) 525-9595

258 E Harvard Blvd
Santa Paula, CA 93060
Phone (805) 525-5518

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

100 N Brent St
Fl 3
Ventura, CA 93003

2705 Loma Vista Rd
Ste 206
Ventura, CA 93003
Phone (805) 643-4067

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

100 N Brent St
Ste 301
Ventura, CA 93003
Phone (805) 648-2763

168 N Brent St
Ste 503
Ventura, CA 93003
Phone (805) 653-0101

120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cmansour3509244@oc.providencedirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1063516235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST",
            "address_2": "STE 301",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-653-0101",
            "fax_number": "805-641-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST",
            "address_2": "STE 301",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-648-2763",
            "fax_number": "805-653-5639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Solar Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930300138",
            "country_code": "US",
            "telephone_number": "805-278-4020",
            "fax_number": "805-278-4015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "CRAIG",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A82165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00WA82165A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CA",
            "identifier": "A82165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.