SOUTH BRISTOL MEDICAL GROUP
NPI 1124158324
Specialist in Santa Ana, CA

Active since March 06, 2007
1220 HEMLOCK WAY STE 104, SANTA ANA, CA 92707(714) 754-5400(714) 754-6836 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Bristol Medical Group NPPES

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

SOUTH BRISTOL MEDICAL GROUP (NPI 1124158324) is a healthcare organization registered as a specialist in Santa Ana, California and active in the NPI registry since March 2007. The organization lists Mansoor Mosley, Doctor, as its authorized official.

NPPES Registry Identity

NPI1124158324
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMANSOOR MOSLEY MD
Location Address1220 HEMLOCK WAY STE 104Santa Ana, CA 92707-3651
Mailing Address1220 Hemlock Way Ste 104Santa Ana, CA 92707-3651 · (714) 754-5400 · Fax (714) 754-6836
Fax(714) 754-6836
Organization SubpartNo
Authorized OfficialMansoor MosleyDoctor · (714) 754-5400
Enumeration DateMarch 6, 2007
Last NPPES UpdateNovember 20, 2012
NPI 1124158324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A41405
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1220 HEMLOCK WAY STE 104, Santa Ana, CA 92707

Other Names 1

Doing Business AsSouth Bristol Medical Group

Other Identifiers 3

Medicaid00A414050 CACA
Medicare ID-Type UnspecifiedA53729 CACA
Medicare UPINA53729 CACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Hospice Care, Community Based
1220 HEMLOCK WAY STE 104
SANTA ANA, CA 92707
Home Health
1220 HEMLOCK WAY STE 104
SANTA ANA, CA 92707

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 Mansoor Mosley MD's NPI number?

The NPI number for Mansoor Mosley MD is 1124158324. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is doing business as South Bristol Medical Group.

Where is Mansoor Mosley MD located?

Mansoor Mosley MD is located at 1220 Hemlock Way Ste 104, Santa Ana, CA 92707. The listed phone number is (714) 754-5400.

What is Mansoor Mosley MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mansoor Mosley MD was last updated on November 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.