OrganizationActive
Fred and Mary Mansubi, M.D. a Professional Medical Corporation
NPI 1114126034 · Pediatric Allergy/Immunology Physician · San Jose, CA
Provider details
- NPI number
- 1114126034
- Entity type
- Organization
- Primary specialty
- Pediatric Allergy/Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mehri (mary) Mansubi, Owner(408) 358-2627
- License
- A330510 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2577 Samaritan Dr
Suite 860
San Jose, CA 95124-4100
Phone: (408) 358-2627
Fax: (408) 356-6445
Approximate (ZIP-level) locationGet directions
Mailing address
2577 Samaritan Dr
San Jose, CA 95124-4100
Registry dates
- Enumerated
- 2007-07-11
- Last updated
- 2013-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.