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

Wasim Mansour, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649627696

Wasim Mansour, DO is a Family Practice in El Cajon, California. Qualified in 2016, 10 years ago. Practices with La Maestra Family Clinic, Inc, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

330 S Magnolia Ave Ste 101
El Cajon, CA 92020-5221
Phone: (619) 593-3007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 — (619) 920-1665

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A15860 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649627696
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 19, 2016
Last updated in NPPESMay 8, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice La Maestra Family Clinic, Inc. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in El Cajon