FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION – NPI #1114126034
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION is a provider located in SAN JOSE, CA. NPPES has assigned the NPI number 1114126034 to FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION on July 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0201X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Allergy/Immunology

The NPI profile was previously updated about 13 years ago on Mar 06, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION below.

NPI Profile for
FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION

NPI Number
1114126034
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION
Primary location
2577 SAMARITAN DR
SUITE 860
SAN JOSE, CA 95124-4100
Phone: (408) 358-2627 Fax: (408) 356-6445
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MEHRI (MARY) MANSUBI
OWNER
Phone: (408) 358-2627
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0201X
- Pediatrics / Pediatric Allergy/Immunology (Primary)
CA A262890
208000000X
- Pediatrics
CA A330510

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.