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

Holly Mansour

Individual provider Physician Assistant · NPI 1760351415

Holly Mansour is a Physician Assistant in San Diego, California. Qualified in 2025, 1 year ago. Practices with San Diego Cardiac Center Medical Group Inc, a 23-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

3131 Berger Ave Ste 200
San Diego, CA 92123-4203
Phone: (858) 244-6800
Fax: (858) 244-6909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 S Pierce St Ste 102, El Cajon, CA 92020-4124 — (619) 668-4700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1760351415
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2025
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice San Diego Cardiac Center Medical Group Inc. — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Diego