NAZISH MANSURI MD
NPI 1760048110
Student in an Organized Health Care Education/Training Program in Colton, CA

Active since May 10, 2019PECOS EnrolledAccepts Medicare Assignment
400 N PEPPER AVE, COLTON, CA 92324(909) 580-3366 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2022, May 10, 2019 (2 updates tracked since 2019).

About Nazish Mansuri Md NPPES

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

NAZISH MANSURI MD (NPI 1760048110) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760048110
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNAZISH MANSURICredential: MD
Location Address400 N PEPPER AVEColton, CA 92324-1801
Mailing Address22621 GenovaLaguna Hills, CA 92653-1907 · (949) 294-9016
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 10, 2019
Last NPPES UpdateSeptember 5, 20222 updates tracked since enumeration
✔ NPI 1760048110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
400 N PEPPER AVE, Colton, CA 92324

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nazish Mansuri Md 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 ID9133504319
PECOS Enrollment IDI20220924000156
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 Nazish Mansuri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

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.

Licensed Psychiatric Technician
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse (Psychiatric/Mental Health)
400 N PEPPER AVE
COLTON, CA 92324
General Acute Care Hospital
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Student in an Organized Health Care Education/Training Program
400 N PEPPER AVE
COLTON, CA 92324
Otolaryngology
400 N PEPPER AVE, MOB SUITE 308
COLTON, CA 92324

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 Nazish Mansuri's NPI number?

The NPI number for Nazish Mansuri is 1760048110. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Nazish Mansuri located?

Nazish Mansuri practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-3366.

What is Nazish Mansuri's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nazish Mansuri enrolled in Medicare?

Yes. Nazish Mansuri 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.

Which organization bills Medicare for Nazish Mansuri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nazish Mansuri reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Nazish Mansuri'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 Nazish Mansuri was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.