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JEFFREY L MANSOOR MD INC
NPI 1851322028
Pain Medicine - Interventional Pain Medicine in Stockton, CA

Active since July 06, 2006
525 W ACACIA ST, STOCKTON, CA 95203(209) 944-5550 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffrey L Mansoor Md Inc NPPES

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

JEFFREY L MANSOOR MD INC (NPI 1851322028) is a healthcare organization registered as an interventional pain medicine in Stockton, California and active in the NPI registry since July 2006. The organization lists Jeffrey L Mansoor, President, as its authorized official.

NPPES Registry Identity

NPI1851322028
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameJEFFREY L MANSOOR MD INC
Location Address525 W ACACIA STStockton, CA 95203-2405
Mailing AddressPo Box 7096Stockton, CA 95267-0096 · (209) 956-7725 · Fax (209) 956-7733
Phone(209) 944-5550
Organization SubpartNo
Authorized OfficialJeffrey L MansoorPresident · (209) 944-5550
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1851322028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
525 W ACACIA ST, Stockton, CA 95203
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey L Mansoor Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20090129000113Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jeffrey L Mansoor MD Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jeffrey Mansoor, MD
Interventional Pain Management
NPI 1750316295
525 W ACACIA ST
Stockton, CA 95203
(209) 956-7725
✔ PECOS✔ Accepts MedicareSame address
Gurpreet Dhaliwal, MD
Pain Management
NPI 1982951554
1530 BESSIE AVE STE 104
Tracy, CA 95376
(209) 279-5540
✔ PECOS✔ Accepts Medicare17 mi

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

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 Jeffrey L Mansoor MD Inc's NPI number?

The NPI number for Jeffrey L Mansoor MD Inc is 1851322028. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Jeffrey L Mansoor MD Inc located?

Jeffrey L Mansoor MD Inc is located at 525 W Acacia St, Stockton, CA 95203. The listed phone number is (209) 944-5550.

What is Jeffrey L Mansoor MD Inc's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Jeffrey L Mansoor MD Inc enrolled in Medicare?

Yes. Jeffrey L Mansoor MD Inc is registered in the Medicare PECOS enrollment system.

When is Jeffrey L Mansoor MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jeffrey L Mansoor MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jeffrey L Mansoor MD Inc, in Interventional Pain Management and Pain Management. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey L Mansoor MD Inc was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.