Individual provider Active NPI

Karim Mahmoud Mansour, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Oakland, CA
National Provider Identifier
1346260098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
A79999 Issued in CA
Practice address
747 52ND St
Department of Emergency Medicine
Oakland, CA 94609-1809
Phone
(510) 428-3259
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X A79999 CA Primary

Addresses

Primary practice location

747 52ND St
Department of Emergency Medicine
Oakland, CA 94609-1809

Mailing address

320 Caldecott LN Unit 108
Oakland, CA 94618-2426
Phone (510) 548-3008

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
I20080110000411 CA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 8022198480 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79999CAMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Sep 7, 2021 Accepting new patients
San Francisco Emergency Medical Associates CurrentSince Nov 1, 2008 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 7, 2021 Accepting new patients
UCSF Pediatrics Associates CurrentSince Feb 4, 2013 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Feb 4, 2013 Accepting new patients
University of California San Francisco CurrentSince Feb 4, 2013 Accepting new patients
University of California San Francisco Past Accepting new patients
UCSF Health Medical Foundation Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Children's Hospital & Research Center at Oakland Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2351 Clay St
Ste 501
San Francisco, CA 94115
Phone (415) 600-3898

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1975 4th St
Fl 1
San Francisco, CA 94143
Phone (303) 918-4827

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kmansour57866@direct-ucsfmedicalcenter.org

Organizations & group practices 12

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346260098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CALDECOTT LN UNIT 108",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182426",
            "telephone_number": "510-548-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "KARIM",
        "middle_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "CA",
            "license": "A79999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.