THAGHAR MANSOUR ODA FNP
NPI 1063835692
Nurse Practitioner - Primary Care in El Cajon, CA

Active since February 03, 2014PECOS EnrolledAccepts Medicare Assignment
1111 W CHASE AVE, EL CAJON, CA 92020(619) 515-2499 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2021, Jan 16, 2019, Dec 21, 2015 (3 updates tracked since 2015).

About Thaghar Mansour Oda Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THAGHAR MANSOUR ODA FNP (NPI 1063835692) is an individual primary care provider in El Cajon, California, licensed in California (95000205) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063835692
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTHAGHAR MANSOUR ODACredential: FNP
Location Address1111 W CHASE AVEEl Cajon, CA 92020-5710
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 3, 2014
Last NPPES UpdateJanuary 5, 20213 updates tracked since enumeration
NPPES CertifiedDecember 31, 2020
NPI 1063835692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · 95000205
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NPF95000205 (CA)
1111 W CHASE AVE, El Cajon, CA 92020

Secondary Practice Locations 2

Location 14060 Fairmount AveSan Diego, CA 92105-1608 · Phone (619) 584-1612 · Fax (619) 285-8134
Location 2133 W Main StEl Cajon, CA 92020-3315 · Phone (619) 401-0404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thaghar Mansour Oda Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163701723
PECOS Enrollment IDI20161122002302
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers23 claims28 services$5.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims13 services$0.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1111 W CHASE AVE
EL CAJON, CA 92020
Physician Assistant
1111 W CHASE AVE
EL CAJON, CA 92020
Clinic/Center (Federally Qualified Health Center (FQHC))
1111 W CHASE AVE
EL CAJON, CA 92020
Clinic/Center (Federally Qualified Health Center (FQHC))
1111 W CHASE AVE
EL CAJON, CA 92020
Internal Medicine
1111 W CHASE AVE
EL CAJON, CA 92020
Nurse Practitioner (Family)
1111 W CHASE AVE
EL CAJON, CA 92020
Internal Medicine
1111 W CHASE AVE
EL CAJON, CA 92020
Physician Assistant
1111 W CHASE AVE
EL CAJON, CA 92020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thaghar Oda's NPI number?

The NPI number for Thaghar Oda is 1063835692. It was assigned to this individual provider in the NPPES registry on February 3, 2014.

Where is Thaghar Oda located?

Thaghar Oda practices at 1111 W Chase Ave, El Cajon, CA 92020. The listed phone number is (619) 515-2499.

What is Thaghar Oda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Thaghar Oda enrolled in Medicare?

Yes. Thaghar Oda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Thaghar Oda was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.