FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION
FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114126034, based in San Jose, CA. The organization lists 2 taxonomy classifications, with Pediatric Allergy/Immunology Physician recorded as primary.
Getting there
The practice address on file is 2577 SAMARITAN DR SUITE 860, San Jose, CA 95124. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A262890 | CA | Pediatric Allergy/Immunology Physician primary |
| A330510 | CA | Pediatrics Physician |
This provider holds licence A262890 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pediatric Allergy/Immunology covers
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. NUCC Health Care Provider Taxonomy, code 2080P0201X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080P0201X | Pediatric Allergy/Immunology Physician Pediatric Allergy/Immunology | A262890 | CA | primary |
| 208000000X | Pediatrics Physician | A330510 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1114126034 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 11, 2007 |
| Last updated | Mar 6, 2013 |
| Status | Active |
| Practice address |
2577 SAMARITAN DR SUITE 860 San Jose, CA 95124 (408) 358-2627 Fax (408) 356-6445 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 1 | 2 | 6 | 0 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 2 | 2 | 3 | 0 | 6 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.