Individual provider Active NPI

David Mansour, DO

  • Internal Medicine Physician
  • El Cajon, CA
National Provider Identifier
1689164949
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A19086 Issued in CA
Practice address
181 Rea Ave
El Cajon, CA 92020-3985
Phone
(193) 120-0347
NPI assigned
May 12, 2018
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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 5101025043 MI
Internal Medicine Physician 207R00000X 20A19086 CA Primary

Addresses

Primary practice location

181 Rea Ave
El Cajon, CA 92020-3985

Mailing address

3199 Camino de Las Piedras
El Cajon, CA 92019-2855
Phone (619) 905-9568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, NC, AR, GA, SC6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20220218000889 CA Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 4981936200 Reassigns benefits to 4 organizations
I20220927002880 TX Practitioner - Internal Medicine 4981936200 Reassigns benefits to 1 organization
Practice locations: Houston, TX
I20230331002585 NC Practitioner - Internal Medicine 4981936200 Reassigns benefits to 1 organization
I20230709000107 AR Practitioner - Internal Medicine 4981936200
I20230714000553 GA Practitioner - Internal Medicine 4981936200
I20230828002640 SC Practitioner - Internal Medicine 4981936200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Maestra Family Clinic, Inc.Group PAC ID 7113968512, shared by 10 NPIs, 13 clinicians
Universal Physicians PAGroup PAC ID 5496840928, 8 clinicians
East Campus Hospitalist Medical Group IncGroup PAC ID 7113361593, 27 clinicians

Practice addresses (Care Compare)

1032 Broadway
El Cajon, CA 92021-7416
Phone (619) 779-7900

17720 Corporate Woods Dr
Laurel Ridge Treatment Center
San Antonio, TX 78259-3500
Phone (210) 491-9400

181 Rea Ave
El Cajon, CA 92020-3985
Phone (619) 280-4213

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (310) 698-5452

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19086CAMDClinical Social Worker
20A19086CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Campus Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Aug 3, 2024 Accepting new patients
La Maestra Family Clinic, Inc. Current Accepting new patients
Universal Physicians PA CurrentSince Aug 30, 2022 Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Mar 16, 2024 Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Mar 28, 2023 Accepting new patients
Neighborhood Healthcare CurrentSince Feb 28, 2022 Accepting new patients
Neighborhood Healthcare CurrentSince Feb 28, 2022 Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Mar 28, 2023 Accepting new patients
Palomar Hospitalist Medical Group, Inc CurrentSince Jul 1, 2022 Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Mar 16, 2024 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Past Accepting new patients

Locations

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

1032 Broadway
El Cajon, CA 92021
Phone (619) 402-5653

165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347

181 Rea Ave
El Cajon, CA 92020
Phone (619) 280-4213

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

13010 Poway Rd
Poway, CA 92064
Phone (858) 218-3000

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

3711 Briarpark Dr
Ste 202
Houston, TX 77042
Phone (713) 589-9159

Interoperability endpoints

  • Direct secure messaging: david.mansour.p1@direct.lamaestra.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1526083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1689164949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 CAMINO DE LAS PIEDRAS",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192855",
            "telephone_number": "619-905-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 REA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203985",
            "telephone_number": "193-120-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-12",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101025043",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A19086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.