1. Home
  2. Directory
  3. California
  4. Mission Viejo
  5. Physician Assistant
  6. NPI Profile

ANISSA MANSOORI PA-C
NPI 1356861975
Physician Assistant in Mission Viejo, CA

Active since June 24, 2017PECOS EnrolledAccepts Medicare Assignment
27800 MEDICAL CENTER RD STE 220, MISSION VIEJO, CA 92691(949) 545-6605(949) 326-7509 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2024, Jun 24, 2017 (2 updates tracked since 2017).

About Anissa Mansoori Pa-c NPPES

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

ANISSA MANSOORI PA-C (NPI 1356861975) is an individual physician assistant in Mission Viejo, California, licensed in California (A125067) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Laguna Beach, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356861975
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANISSA MANSOORICredential: PA-C
Location Address27800 MEDICAL CENTER RD STE 220Mission Viejo, CA 92691-6408
Mailing Address27800 Medical Center Rd Ste 220Mission Viejo, CA 92691-6408 · (949) 545-6605 · Fax (949) 326-7509
Phone(949) 545-6605
Fax(949) 326-7509
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 24, 2017
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1356861975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · A125067
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedDermatologyTaxonomy 207N00000X · License 8205 (GA)
27800 MEDICAL CENTER RD STE 220, Mission Viejo, CA 92691
Open in Google Maps ↗

Secondary Practice Location 1

Location 131655 Coast Hwy Ste ALaguna Beach, CA 92651-7019 · Phone (949) 545-6605 · Fax (949) 326-7509

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

Anissa Mansoori Pa-c 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 ID5193072593
PECOS Enrollment IDI20200526003064
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services18 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 4

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

F AWADALLA MD PC
Dermatology
27800 MEDICAL CENTER RD STE 220
MISSION VIEJO, CA 92691
Orange County (949) 545-6605
DANIEL YOUNGJOO KIM
Podiatrist (Foot & Ankle Surgery)
27800 MEDICAL CENTER RD STE 220
MISSION VIEJO, CA 92691
Orange County (969) 545-6605
DR. FARAH C AWADALLA MD
Dermatology
27800 MEDICAL CENTER RD STE 220
MISSION VIEJO, CA 92691
Orange County (949) 545-6605
F AWADALLA MD PC
Podiatrist (Foot & Ankle Surgery)
27800 MEDICAL CENTER RD STE 220
MISSION VIEJO, CA 92691
Orange County (949) 545-6605

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 Anissa Mansoori's NPI number?

The NPI number for Anissa Mansoori is 1356861975. It was assigned to this individual provider in the NPPES registry on June 24, 2017.

Where is Anissa Mansoori located?

Anissa Mansoori practices at 27800 Medical Center Rd Ste 220, Mission Viejo, CA 92691. The listed phone number is (949) 545-6605.

What is Anissa Mansoori's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anissa Mansoori enrolled in Medicare?

Yes. Anissa Mansoori 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 Anissa Mansoori was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.