Active NPI
Mansoor Al Ameri, PHD, PT, MPT
- Physical Therapist
- Riverside, CA
National Provider Identifier
1710404983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294050
- Practice address
- 3908 10TH St
Riverside, CA 92501-3522 - Phone
- (951) 274-7744
- NPI assigned
- Aug 28, 2017
- Last updated
- Sep 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26052 | MD | |
| Physical Therapist | 225100000X | 294050 | CA | Primary |
Addresses
Primary practice location
3908 10TH St
Riverside, CA 92501-3522
Mailing address
3908 10TH St # 2747744
Riverside, CA 92501-3522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6850 Brockton Ave
Suite 212
Riverside, CA 92506-3815
Phone (951) 534-0600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26052 | MD | MD | Pharmacist |
Organizations & group practices 1
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.
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- Physical Therapist
- Temecula, CA
- NPI 1679541320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1710404983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3908 10TH ST # 2747744",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3908 10TH ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013522",
"telephone_number": "951-274-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL AMERI",
"first_name": "MANSOOR",
"credential": "PHD, PT, MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-28",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26052",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.