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DR. CHRISTINA MANSOUR MD
NPI 1205417797
Internal Medicine in San Diego, CA

Active since April 16, 2021PECOS Enrolled
4077 FIFTH AVE # MER35, SAN DIEGO, CA 92103(619) 260-7220 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2024, Apr 16, 2021 (2 updates tracked since 2021).

About Dr. Christina Mansour Md NPPES

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

DR. CHRISTINA MANSOUR MD (NPI 1205417797) is an individual internal medicine provider in San Diego, California, licensed in California (A191248) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205417797
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHRISTINA MANSOURCredential: MD
Location Address4077 FIFTH AVE # MER35San Diego, CA 92103-2105
Mailing Address4077 Fifth Ave # Mer35San Diego, CA 92103-2105 · (619) 260-7220
Phone(619) 260-7220
Sole ProprietorNo
Enumeration DateApril 16, 2021
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1205417797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A191248
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4077 FIFTH AVE # MER35, San Diego, CA 92103
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Christina Mansour Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Christina Mansour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Centers Of San Diego, Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
4065 3RD AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1669827598 (619) 515-2545

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
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.

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.

DR. PRANAY RAG BONAGIRI DO
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
ANDY M CHAN DO
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 294-8111
MARGARET CULVER MCDERMOTT MD
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 294-8111
KENNETH R STEVENS III
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (503) 998-0614
CODY MITCHELL DELANEY
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
JENNA LAVINA
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
HAO PHUC NGUYEN D.O.
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
DR. KASE TAYLOR RATTEY DPM
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (617) 435-7272

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 Christina Mansour's NPI number?

The NPI number for Christina Mansour is 1205417797. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Christina Mansour located?

Christina Mansour practices at 4077 Fifth Ave # Mer35, San Diego, CA 92103. The listed phone number is (619) 260-7220.

What is Christina Mansour's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Christina Mansour enrolled in Medicare?

Yes. Christina Mansour is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christina Mansour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christina Mansour reassigns Medicare benefits to Family Health Centers Of San Diego, Inc. (San Diego, CA). The 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 Christina Mansour'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 Christina Mansour was last updated on September 18, 2024. 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.