Yasin Mansoor, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C52859 Issued in CA

Practice address

511 Estudillo Ave
San Leandro, CA 94577-4611

Phone

(510) 746-7480

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of AlamedaGroup PAC ID 9739070624, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alameda County

  dba South County Crisis

  • Community/Behavioral Health Agency
  • Hayward, CA
  • NPI 1780716381
  Medicare reassignment Care Compare group NPD
• Hiawatha Harris, M.D., Inc.

  dba Pathways To Wellness, Medication Clinic

  • Mental Health Counselor
  • Oakland, CA
  • NPI 1942420724
  Medicare reassignment NPD
• Subacute Treatment for Adolescent Rehabilitation Services, Inc.

  dba Stars Community Services

  • Community/Behavioral Health Agency
  • San Leandro, CA
  • NPI 1205992096
  Medicare reassignment NPD
• Alameda County

  dba Eden Outpatient

  • Community/Behavioral Health Agency
  • San Leandro, CA
  • NPI 1023140787
  NPD
• Hiawatha Harris, Corporation

  dba Pathways To Wellness Medication Clinic

  • Clinical Child & Adolescent Psychologist
  • Martinez, CA
  • NPI 1407063936
  NPD
• Hiawatha Harris, M.D., Inc.

  dba Pathways To Wellness Medication Clinic

  • Mental Health Counselor
  • Union City, CA
  • NPI 1851511638
  NPD
• Subacute Treatment for Adolescent Rehabilitation Services, Inc.

  dba Prescott School

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1558684738
  NPD
• Everly, Hildreth & Platman Behavioral Services, LLC

  dba EHP Behavioral Services, LLC

  • Professional Counselor
  • Baltimore, MD
  • NPI 1225005580

  Psychiatry

  NPD (past)
• Finksburg Plaza Counseling Service, LLC

  dba Finksburg Counseling Service, LLC

  • Clinical Social Worker
  • Westminster, MD
  • NPI 1497797021
  NPD (past)
• National Center on Institutions & Alternatives

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1750329678
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1760448054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32667 KENITA WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873001",
            "telephone_number": "510-695-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774611",
            "telephone_number": "510-746-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOOR",
        "first_name": "YASIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C52859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121200100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selena Kaur Mann
• Mannie Joel MD Inc.
• Avon Manning Jr.
• Deserie Manning
• Alithu Andrea Manrique
• Sara Mansouri
• Arezou Mansourian, PA-C
• Brianna Manuel
• Michael Gregory Manuel
• Raymundo San Jose Manzana

• Psychiatry Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.