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

Anissa Mansoori, PA-C

Individual provider Physician Assistant · NPI 1356861975

Anissa Mansoori, PA-C is a Physician Assistant in Mission Viejo, California. Qualified in 2016, 10 years ago. Practices with F Awadalla MD PC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
10
Licensed in
CA, GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

27800 Medical Center Rd Ste 220
Mission Viejo, CA 92691-6408
Phone: (949) 545-6605
Fax: (949) 326-7509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 31655 Coast Hwy Ste A, Laguna Beach, CA 92651-7019 — (949) 545-6605

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence A125067 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 8205 (GA)

Record details

NPI number1356861975
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2017
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice F Awadalla Md Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mission Viejo