Individual provider Active NPI

Perry Mansfield, M.D.

  • Otolaryngology Physician
  • San Diego, CA
National Provider Identifier
1265463194
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A47905 Issued in CA
Practice address
3590 Camino del Rio N 100
San Diego, CA 92108-1716
Phone
(619) 810-1000
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A47905 CA Primary

Addresses

Primary practice location

3590 Camino del Rio N 100
San Diego, CA 92108-1716

Mailing address

3590 Camino del Rio N Ste 100
San Diego, CA 92108-1707
Phone (619) 810-1111

Other identifiers 1

IdentifierTypeStateIssuer
00A479050MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041004000875 CA Practitioner - Otolaryngology 4981663259 Reassigns benefits to 3 organizations
Receives reassigned benefits from 9 practitioners
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians

Practice addresses (Care Compare)

3590 Camino del Rio N
Suite 100
San Diego, CA 92108-1707
Phone (619) 810-1000

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.19 of 100Reported as individual
Quality
80.39
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A47905CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Aug 15, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Perry Mansfield, M.D., Inc. Otolaryngology CurrentSince Jan 1, 1990 Accepting new patients
Scripps Health Current Accepting new patients
Senta Clinic, Inc Otolaryngology CurrentSince Sep 20, 2014 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 12, 2018 Accepting new patients
R Stuart Weeks MD Inc Otolaryngology Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

3590 Camino del Rio N
Ste 100
San Diego, CA 92108
Phone (619) 810-1000

4044 5th Ave
San Diego, CA 92103
Phone (619) 452-7350

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

3590 Camino del Rio N
Ste 103
San Diego, CA 92108
Phone (619) 810-1000

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c14889b-5c15-4fbc-9176-47ac68d769a1/
  • Direct secure messaging: pmansfield61377@scrippshlth.medalliesdirect.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/5632fbae-577c-4a2c-bb09-322e166c2db1/

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1265463194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 CAMINO DEL RIO N STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081707",
            "telephone_number": "619-810-1111",
            "fax_number": "619-229-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 CAMINO DEL RIO N 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081716",
            "telephone_number": "619-810-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A47905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A479050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.