Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fred and Mary Mansubi, MD a Professional Medical Corporation

Organization Pediatrics Physician · NPI 1114126034

Fred and Mary Mansubi, MD a Professional Medical Corporation is a Pediatrics Physician 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
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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