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

Individual provider Physician Assistant · NPI 1366082737

Nicole Mansur, PA-C is a Physician Assistant in Loma Linda, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
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

11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (909) 558-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5716 Rhea Ave, Tarzana, CA 91356-1415 — (818) 219-4008

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA58072 (CA)

Record details

NPI number1366082737
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 13, 2020
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020

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