JEFFREY L MANSOOR MD INC (NPI# 1851322028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851322028 |
| Entity Type | Organization |
| Organization Name | JEFFREY L MANSOOR MD INC |
| Practice Address |
525 W Acacia St Stockton CA 95203-2405 |
| Mailing Address |
Po Box 7096 Stockton CA 95267-0096 |
| Practice Telephone | 2099445550 |
| Mailing Telephone | 2099567725 |
| Mailing Fax Number | 2099567733 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | JEFFREY L MANSOOR (PRESIDENT) |
| Authorized Official Telephone | 2099445550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
525 W ACACIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95203-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163886 | Dameron Hospital Association | General Acute Care Hospital | 525 W Acacia St, Stockton, CA 95203-2405 | 2005-06-01 |
| 1023663762 | Michelle Lai | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2019-08-08 |
| 1619537073 | Cep America - Anesthesia PC | Anesthesiology | 525 W Acacia St, Stockton, CA 95203-2405 | 2019-06-18 |
| 1891273405 | Hospitalist Medicine Physicians of California - Stockton, PC | Internal Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2018-08-06 |
| 1518490358 | California Em-i Medical Services A Medical Corporation | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2017-04-08 |
| 1497286306 | Grace Rodriguez | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2017-03-22 |
| 1407391576 | Steven Frank Blankenship Jr. | Dietitian, Registered | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-12-28 |
| 1376999748 | Sreekanth Murupudi | Internal Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-05-04 |
| 1346695038 | Matthew Mitchell | Pharmacist | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-04-29 |
| 1609239532 | Anil K. Sain, Md | Nuclear Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2016-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899349 | Sagrario Alva Chavez | Technician | Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 | 2019-12-26 |
| 1538682810 | Kumars Transport | Non-emergency Medical Transport (VAN) | 1112 W Fremont St, Stockton, CA 95203 | 2017-07-19 |
| 1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
| 1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
| 1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
| 1487019568 | Evelyn Marie Cabral | Registered Nurse | 1966 W Rose St, Stockton, CA 95203-1327 | 2015-12-16 |
| 1245782622 | Christine Bolthouse | Specialist/Technologist | 1858 Lucerne Ave, Stockton, CA 95203-1440 | 2016-11-01 |
| 1235476946 | Sonia D Oliver | Case Manager/Care Coordinator | 1764 W Rose St, Stockton, CA 95203-1526 | 2013-01-15 |
| Find all providers in zip 95203 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306006705 | Kartic Rajput | Pain Medicine | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2008-06-10 |
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| 1578199147 | Pinnacle Pain & Regenerative Medicine Inc | Pain Medicine | 24452 Health Center Dr, Laguna Hills, CA 92653-3604 | 2020-03-16 |
| 1396376745 | Michael Truong, Md | Pain Medicine | 10900 Warner Ave Ste 101b, Fountain Valley, CA 92708-3846 | 2020-02-03 |
| 1013554930 | Algos Inc., A Medical Corporation | Pain Medicine | 1325 E Cooley Dr Ste 101, Colton, CA 92324-3966 | 2019-12-10 |
| 1649823964 | Bolt Surgery Center, LLC | Pain Medicine | 1124 S Main St Ste 102, Corona, CA 92882-4449 | 2019-07-17 |
| 1730649799 | Niamedic Bh PC | Pain Medicine | 24411 Health Center Dr Ste 330, Laguna Hills, CA 92653-3633 | 2019-03-24 |
| 1174097612 | Southern California Regenerative Medical Inc | Pain Medicine | 2111 S El Camino Real Ste 200, Oceanside, CA 92054-9000 | 2019-01-17 |
| 1215404132 | Haven Orthopedics & Spine Institute Inc | Pain Medicine | 10390 Commerce Center Dr Ste C100, Rancho Cucamonga, CA 91730-5858 | 2018-10-29 |
| 1700387347 | Paul Kim Md Inc. | Pain Medicine | 1771 W Romneya Dr Ste H, Anaheim, CA 92801-1817 | 2018-02-27 |
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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.