Active NPI
Ahmad M. Mansury, M.D.
- Ophthalmology Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A100534
- Practice address
- 21634 Retreat Pkwy
Corona, CA 92883-6100 - Phone
- (951) 493-6934
- Fax
- (951) 826-8125
- NPI assigned
- Jul 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A100534 | CA | Primary |
Addresses
Primary practice location
21634 Retreat Pkwy
Corona, CA 92883-6100
Mailing address
21634 Retreat Pkwy
Corona, CA 92883-6100
Phone (951) 493-6934
Other practice location 1
3770 Keystone Avenue #210
Los Angeles, CA 90034
Phone (818) 640-9886
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of California, Geffen School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6405 Day St
Riverside, CA 92507-0901
Phone (951) 697-5556
7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 683-6370
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Arthur J Edelstein M D a Professional Corporation | Ophthalmology | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Ophthalmology | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Ophthalmology | Current | Accepting new patients |
| Doctors Hospital of Riverside LLC | Past | Accepting new patients | |
| RMC Surgery Center, LLC | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
315 N 3rd Ave
Ste 103
Covina, CA 91723
Phone (626) 859-2249
12742 Limonite Ave
Eastvale, CA 92880
Phone (951) 739-2712
3889 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 638-0402
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
6250 Clay St
Riverside, CA 92509
Phone (951) 360-5250
7160 Brockton Ave
Fl 2
Riverside, CA 92506
Phone (951) 782-3837
6405 Day St
Riverside, CA 92507
Phone (909) 683-6370
7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714
21634 Retreat Pkwy
Temescal Valley, CA 92883
Phone (951) 782-5157
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 9
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.
-
dba Riverside Medical Clinic
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Ophthalmology
-
- Ophthalmology Physician
- Lynwood, CA
- NPI 1295870095
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba Riverside Medical Clinic
- Family Medicine Physician
- Riverside, CA
- NPI 1639274319
-
dba Riverside Medical Clinic
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
Ophthalmology
-
dba Parkview Community Hospital Medical Center
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
dba RMC Surgery Center
- Ambulatory Surgical Clinic/Center
- Riverside, CA
- NPI 1396709077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1992960827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21634 RETREAT PKWY",
"city": "CORONA",
"state": "CA",
"postal_code": "928836100",
"telephone_number": "951-493-6934",
"fax_number": "951-826-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21634 RETREAT PKWY",
"city": "CORONA",
"state": "CA",
"postal_code": "928836100",
"telephone_number": "951-493-6934",
"fax_number": "951-826-8125"
}
],
"practiceLocations": [
{
"address_1": "3770 Keystone Avenue #210",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90034",
"country_code": "US",
"telephone_number": "818-640-9886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANSURY",
"first_name": "AHMAD",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A100534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.