Individual provider Active NPI

Gina J Mansy, M.D.

  • Radiation Oncology Physician
  • Chula Vista, CA
National Provider Identifier
1326046855
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A65021 Issued in CA
Practice address
959 Lane Ave
Ucsd Radiation Oncology South Bay
Chula Vista, CA 91914-4528
Phone
(619) 502-7730
Fax
(619) 502-7740
NPI assigned
Jul 8, 2005
Last updated
Apr 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A65021 CA Primary

Addresses

Primary practice location

959 Lane Ave
Ucsd Radiation Oncology South Bay
Chula Vista, CA 91914-4528

Mailing address

959 Lane Ave
Ucsd Radiation Oncology South Bay
Chula Vista, CA 91914-4528
Phone (619) 502-7730

Other identifiers 2

IdentifierTypeStateIssuer
A65021OtherCASTATE LICENSE
00A650210MedicaidCA

Other names 1

  • Dr. Gina Jabro Former name

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
I20040729001020 CA Practitioner - Radiation Oncology 5890765515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Iowa, RJ & L Carver College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Network of Southern CaliforniaGroup PAC ID 3870906092, 5 clinicians

Practice addresses (Care Compare)

1200 Garden View Rd
Suite 210
Encinitas, CA 92024-2475
Phone (800) 926-8273

447 N El Camino Real
Encinitas, CA 92024-1302
Phone (858) 657-7000

959 Lane Ave
Chula Vista, CA 91914-4528
Phone (619) 502-7730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65021CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Network of Southern California CurrentSince Dec 1, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Regents of the University of California Radiation Oncology CurrentSince Aug 1, 2011 Accepting new patients
Regents of the University of California Past Accepting new patients
The Radiation Medical Group Inc Past Accepting new patients
Cancer Treatment Services San Diego, LLC Past Accepting new patients
Scripps Health Past Accepting new patients
Palomar Health Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

959 Lane Ave
Chula Vista, CA 91914
Phone (619) 502-7730

959 Lane Ave
Bldg B
Chula Vista, CA 91914
Phone (619) 502-7721

959 Lane Ave
Ste B
Chula Vista, CA 91914
Phone (619) 502-7721

1410 S La Brucherie Rd
#B
El Centro, CA 92243
Phone (760) 339-5620

1200 Garden View Rd
Encinitas, CA 92024
Phone (760) 536-7682

477 N El Camino Real
Encinitas, CA 92024
Phone (760) 479-3900

477 N El Camino Real
Ste D101A
Encinitas, CA 92024
Phone (858) 505-4100

3855 Health Sciences Dr
La Jolla, CA 92093
Phone (800) 926-8276

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

916 Sycamore Ave
Vista, CA 92081
Phone (760) 599-9545

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gmansy@epluscancercare.direct.varian.com
  • Direct secure messaging: gmansy@ionetwork.direct.varian.com
  • Direct secure messaging: gmansy81299@scrippshlth.medalliesdirect.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1326046855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 LANE AVE",
            "address_2": "UCSD RADIATION ONCOLOGY SOUTH BAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144528",
            "telephone_number": "619-502-7730",
            "fax_number": "619-502-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 LANE AVE",
            "address_2": "UCSD RADIATION ONCOLOGY SOUTH BAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144528",
            "telephone_number": "619-502-7730",
            "fax_number": "619-502-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSY",
        "first_name": "GINA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A65021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A65021",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A650210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "JABRO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.