Organization Active NPI

Mansour Chiropractic Inc.

  • Chiropractor
  • Chino Hills, CA
National Provider Identifier
1063683373
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20299 Issued in CA
Legal business name
MANSOUR CHIROPRACTIC INC.
Practice address
14740 Pipeline Ave
Suite a
Chino Hills, CA 91709-1293
Phone
(909) 393-4545
Fax
(909) 393-3899
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Dr. Albert D. Mansour, D.C.NPI 1134211535
Title
President
Phone
(909) 393-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 20299 CA Primary

Addresses

Primary practice location

14740 Pipeline Ave
Suite a
Chino Hills, CA 91709-1293

Mailing address

14740 Pipeline Ave
Suite a
Chino Hills, CA 91709-1293
Phone (909) 393-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080620000644 CA Part B Supplier - Clinic/Group Practice 1850462698 Receives reassigned benefits from 1 practitioner
Practice locations: Chino Hills, CA

National Provider Directory

National Provider Directory

Locations

14740 Pipeline Ave
Ste A
Chino Hills, CA 91709
Phone (909) 393-4545

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1063683373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 PIPELINE AVE",
            "address_2": "SUITE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091293",
            "telephone_number": "909-393-4545",
            "fax_number": "909-393-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 PIPELINE AVE",
            "address_2": "SUITE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091293",
            "telephone_number": "909-393-4545",
            "fax_number": "909-393-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSOUR CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-393-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.