Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fred and Mary Mansubi, MD a Professional Medical Corporation

Organization Pediatrics Physician · NPI 1114126034

Fred and Mary Mansubi, MD a Professional Medical Corporation provides Pediatrics Physician services in San Jose, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

2577 Samaritan Dr Ste 860
San Jose, CA 95124-4100 Not confirmed with CMS for 13 years — call before visiting
Phone: (408) 358-2627
Fax: (408) 356-6445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Allergy/Immunology Physician (primary) Taxonomy 2080P0201X · Licence A262890 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A330510 (CA)

Record details

NPI number1114126034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mehri (Mary) Mansubi — Owner · (408) 358-2627
NPI enumeratedJuly 11, 2007
Last updated in NPPESMarch 6, 2013
Mailing address2577 Samaritan Dr, Suite 860, San Jose, CA 95124-4100

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