Jonathon Michael Mansour, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

5101017820 Issued in MI

Practice address

14850 Roscoe Blvd
Panorama City, CA 91402-4618

Phone

(818) 787-2222

NPI assigned

Jun 24, 2008

Last updated

Sep 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dream Anesthesia a Professional Medical CorporationGroup PAC ID 0547549370, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Community Hospital Hospital, Panorama City, CA, CCN 050704

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Dream Anesthesia, a Professional Medical Corporation

  • Anesthesiology Physician
  • Irvine, CA
  • NPI 1912369414
  Medicare reassignment Care Compare group NPD
• Tiger Valley Medical Group, Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1144361171
  Medicare reassignment NPD
• Alterra Anesthesia Apmc

  • Anesthesiology Physician
  • Panorama City, CA
  • NPI 1174446033
  Authorized official Same address or phone
• Apmc Medical Group Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1184592982
  NPD (past)
• Ourian Medical Corporation

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1326791252

  Anesthesiology

  NPD (past)
• Trias Global, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Newport Beach, CA
  • NPI 1518433457
  NPD (past)

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

• Deanco Healthcare LLC

  dba Mission Community Hospital

  • General Acute Care Hospital
  • Panorama City, CA
  • NPI 1750365375
  Care Compare affiliation

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1245491943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5486",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635486",
            "telephone_number": "818-550-0900",
            "fax_number": "505-293-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024618",
            "telephone_number": "818-787-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "JONATHON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101017820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Joseph Mangiafridda, PHARM D
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• Alvin Necor Manojo, PTA
• Rosalie Dela Cruz Manuel, OTR/L
• Lilit Manukyan
• Briana Manzanero, PHLEBOTOMIST
• Mar Diagnostic Service, Inc
• Danealia Maretka, MFT

• Anesthesiology Physician in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.