MANSOUR MOFIDI DO
NPI 1164598843
Internal Medicine in La Mesa, CA
About Mansour Mofidi Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANSOUR MOFIDI DO (NPI 1164598843) is an individual internal medicine provider in La Mesa, California, licensed in California (20A7485) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in La Mesa, and is a graduate of Western University Of Health Sciences College Of Dental Med (1998).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mansour Mofidi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Mansour Mofidi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Mesa, CA 91942
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Mansour Mofidi Do Inc
- 3 clinicians in this Medicare group
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 87 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 clinicians in this Medicare group
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 194 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA MESA, CA 91942
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 Mansour Mofidi's NPI number?
The NPI number for Mansour Mofidi is 1164598843. It was assigned to this individual provider in the NPPES registry on November 27, 2006.
Where is Mansour Mofidi located?
Mansour Mofidi practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 740-6000.
What is Mansour Mofidi's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mansour Mofidi enrolled in Medicare?
Yes. Mansour Mofidi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mansour Mofidi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mansour Mofidi reassigns Medicare benefits to 4 organizations: Mansour Mofidi, D.O.,inc (La Mesa, CA), San Diego Critical Care Medical Group, Inc (El Cajon, CA), Emergency And Acute Care Medical Corporation (San Diego, CA) and Careconnectmd Ca PC (Costa Mesa, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mansour Mofidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mansour Mofidi was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mansour Mofidi, DO · NPI 1164598843
Internal Medicine physician in La Mesa, California. Individual provider, active in the CMS NPPES registry since November 27, 2006.
## Identity
- **NPI:** 1164598843 (Entity type: Individual)
- **Enumerated:** November 27, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 20A7485 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5555 GROSSMONT CENTER DR, La Mesa, CA 91942-3019
- **Phone:** (619) 740-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mansour Mofidi, D.O.,inc (NPI 1902043193, La Mesa, CA); San Diego Critical Care Medical Group, Inc (NPI 1609915990, El Cajon, CA); Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA); Careconnectmd Ca PC (NPI 1366063125, Costa Mesa, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western University Of Health Sciences College Of Dental Med, class of 1998
## Record status
- **NPPES last updated:** December 19, 2023
- **Other identifiers:** Other 0007441277
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Source: [NPI Profile](https://npiprofile.com/npi/1164598843) · Data from the CMS NPPES public registry.