HOLLY MANSOUR
NPI 1760351415
Physician Assistant in San Diego, CA
About Holly Mansour NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY MANSOUR (NPI 1760351415) is an individual physician assistant in San Diego, California and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in El Cajon, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Holly Mansour 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Holly Mansour's NPI number?
The NPI number for Holly Mansour is 1760351415. It was assigned to this individual provider in the NPPES registry on October 31, 2025.
Where is Holly Mansour located?
Holly Mansour practices at 3131 Berger Ave Ste 200, San Diego, CA 92123. The listed phone number is (858) 244-6800.
What is Holly Mansour's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Holly Mansour enrolled in Medicare?
Yes. Holly Mansour 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 Holly Mansour was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Holly Mansour · NPI 1760351415
Physician Assistant physician in San Diego, California. Individual provider, active in the CMS NPPES registry since October 31, 2025.
## Identity
- **NPI:** 1760351415 (Entity type: Individual)
- **Enumerated:** October 31, 2025
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3131 BERGER AVE STE 200, San Diego, CA 92123-4203
- **Phone:** (858) 244-6800 · **Fax:** (858) 244-6909
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760351415) · Data from the CMS NPPES public registry.