Individual provider Active NPI

Maansi V Doshi, DO

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Clemente, CA
National Provider Identifier
1376842997
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
20A16239 Issued in CA
Practice address
3553 Camino Mira Costa Ste D
San Clemente, CA 92672-3512
Phone
(949) 804-3021
Fax
(949) 289-9615
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 20A16239 CA Primary

Addresses

Primary practice location

3553 Camino Mira Costa Ste D
San Clemente, CA 92672-3512

Mailing address

3553 Camino Mira Costa Ste D
San Clemente, CA 92672-3512
Phone (949) 804-3021

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
I20190312003528 CA Practitioner - Otolaryngology 4082907811 Reassigns benefits to 2 organizations
Practice locations: Turlock, CA

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Nova Southeastern College of Osteo Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason Roos DO a Professional Medical CorporationGroup PAC ID 4789082561, 10 clinicians

Practice addresses (Care Compare)

3553 Camino Mira Costa
Suite D
San Clemente, CA 92672-3512
Phone (949) 804-3021

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation CurrentSince Feb 1, 2026 Accepting new patients
First Choice Physician Partners CurrentSince Sep 1, 2020 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Jason Roos DO a Professional Medical Corporation Otolaryngology/Facial Plastic Surgery CurrentSince Aug 1, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Sep 1, 2020 Accepting new patients

Locations

1000 Fivepoint
Ste A
Irvine, CA 92618
Phone (888) 333-4673

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

3553 Camino Mira Costa
Ste D
San Clemente, CA 92672
Phone (949) 200-7737

3553 Camino Mira Costa
Ste A
San Clemente, CA 92672
Phone (949) 369-5932

3553 Camino Mira Costa
San Clemente, CA 92672
Phone (949) 240-7070

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

1801 Colorado Ave
Ste 160
Turlock, CA 95382
Phone (209) 216-3300

2121 Colorado Ave
Ste C
Turlock, CA 95382
Phone (209) 644-5175

805 W Acequia Ave
Ste 1B
Visalia, CA 93291
Phone (559) 409-4720

1700 W Walnut Ave
#A
Visalia, CA 93277
Phone (559) 409-4720

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1376842997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 CAMINO MIRA COSTA STE D",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723512",
            "telephone_number": "949-804-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 CAMINO MIRA COSTA STE D",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723512",
            "telephone_number": "949-804-3021",
            "fax_number": "949-289-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSHI",
        "first_name": "MAANSI",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "20A16239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

Verify at the official NPI Registry.