PERRY MANSFIELD, M.D., INC. (NPI# 1376600601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376600601 |
| Entity Type | Organization |
| Organization Name | PERRY MANSFIELD, M.D., INC. |
| Practice Address |
6645 Alvarado Rd # 4000 San Diego CA 92120-5208 |
| Practice Telephone | 6192294901 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PERRY MANSFIELD (CHIEF) |
| Authorized Official Telephone | 6192294901 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A47905 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A479050 | 05 |
| Street Address |
6645 ALVARADO RD # 4000 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578996500 | Premier Neuroimaging Inc | Radiology | 6645 Alvarado Rd # 4000, San Diego, CA 92120-5208 | 2013-08-13 |
| 1316004526 | Brian H Weeks Md Inc | Otolaryngology | 6645 Alvarado Rd # 4000, San Diego, CA 92120-5208 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447663794 | Daniel Dewerd | Otolaryngology | 3627 Riviera Dr, San Diego, CA 92109-6641 | 2014-06-04 |
| 1003239948 | Jesse Qualliotine | Otolaryngology | 200 W Arbor Dr # 8895, San Diego, CA 92103 | 2014-01-29 |
| 1972931236 | Joseph Traxler | Otolaryngology | 12356 Avenida Consentido, San Diego, CA 92128-3283 | 2013-10-24 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1225395734 | Samantha Jill Hauff | Otolaryngology | 4282 Genesee Ave Ste 202, San Diego, CA 92117-4989 | 2012-04-20 |
| 1205064805 | Art Anthony Ambrosio | Otolaryngology | 34800 Bob Wilson Dr Ste 200, San Diego, CA 92134-2538 | 2009-06-23 |
| 1477612372 | Brent R Driskill | Otolaryngology | 4033 3rd Ave Ste 104, San Diego, CA 92103-2136 | 2006-12-06 |
| 1215005699 | Angela M Powell | Otolaryngology | 34520 Bob Wilson Dr Ste 200, San Diego, CA 92134-2200 | 2006-12-01 |
| 1144320599 | Marc E Kramer | Otolaryngology | 8929 University Center Lane, #208, San Diego, CA 92122 | 2006-09-25 |
| 1003825571 | Sapideh Gilani | Otolaryngology | 200 W Arbor Dr # Mc8895, Division of Otolaryngology Ucsd, San Diego, CA 92103-1911 | 2006-08-05 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.