Individual provider Active NPI

Albert D. Mansour, D.C.

  • Chiropractor
  • Chino Hills, CA
National Provider Identifier
1134211535
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20299 Issued in CA
Practice address
14740 Pipeline Ave Ste a
Chino Hills, CA 91709-1293
Phone
(909) 393-4545
Fax
(909) 393-3899
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 20299 CA Primary

Addresses

Primary practice location

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

Mailing address

2983 Chino Ave
Suite a-6
Chino Hills, CA 91709-3576
Phone (909) 465-5454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000778 CA Practitioner - Chiropractic 6305865205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20299CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mansour Chiropractic Inc. Chiropractor CurrentSince Mar 12, 2008 Accepting new patients

Locations

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1134211535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2983 CHINO AVE",
            "address_2": "SUITE A-6",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093576",
            "telephone_number": "909-465-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 PIPELINE AVE STE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091293",
            "telephone_number": "909-393-4545",
            "fax_number": "909-393-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "ALBERT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_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 Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.