Individual provider Active NPI

Sarfaraz A Mansuri, MD

  • Hospitalist Physician
  • San Luis Obispo, CA
National Provider Identifier
1508178088
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A132746 Issued in CA
Practice address
1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone
(805) 546-7600
NPI assigned
Jul 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A132746 CA
Hospitalist Physician 208M00000X A132746 CA Primary

Addresses

Primary practice location

1010 Murray Ave
San Luis Obispo, CA 93405-1806

Mailing address

13737 Noel Rd
Ste 1600
Dallas, TX 75240-1374
Phone (214) 712-2728

Other practice location 1

3033 Augusta St
San Luis Obispo, CA 93401-5820
Phone (805) 544-5100

Other identifiers 1

IdentifierTypeStateIssuer
A132746OtherCAMEDICAL BOARD PHYSICIAN LICENSE

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
I20141215001061 CA Practitioner - Internal MedicinePractitioner - Hospitalist 7719130152 Reassigns benefits to 2 organizations
Practice locations: San Luis Obispo, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast in-Patient Consultants IncGroup PAC ID 8325137714, 33 clinicians

Practice addresses (Care Compare)

345 S Halcyon Rd
Arroyo Grande, CA 93420-3817
Phone (805) 489-4261

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.33 of 100Reported as group
Quality
29.5
Improvement activities
0
Cost
80.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132746CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine of California Inc Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients

Locations

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1508178088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401374",
            "telephone_number": "214-712-2728",
            "fax_number": "866-581-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MURRAY AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051806",
            "telephone_number": "805-546-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 AUGUSTA ST",
            "address_purpose": "LOCATION",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015820",
            "country_code": "US",
            "telephone_number": "805-544-5100",
            "fax_number": "805-858-9584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSURI",
        "first_name": "SARFARAZ",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A132746",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A132746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD PHYSICIAN LICENSE",
            "identifier": "A132746",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.