MICHAEL ROBERT MAHONEY JR. IDC
NPI 1144858317
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Michael Mahoney's NPI number?

The NPI number for Michael Mahoney is 1144858317. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Michael Mahoney's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mahoney was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2020

34800 BOB WILSON DR STE 14, SAN DIEGO, CA 92134(636) 634-6383 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Robert Mahoney Jr. Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ROBERT MAHONEY JR. IDC (NPI 1144858317) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1144858317

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMICHAEL ROBERT MAHONEY JR.Credential: IDC

Location Address34800 BOB WILSON DR STE 14San Diego, CA 92134-1014

Mailing Address9273 E Bent Creek WayTucson, AZ 85747-5412 · (636) 634-6383

Phone(636) 634-6383

Sole ProprietorNo

Enumeration DateApril 1, 2020

NPPES CertifiedApril 1, 2020

✔ NPI 1144858317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

34800 BOB WILSON DR STE 14, San Diego, CA 92134

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Mahoney's NPI number?

The NPI number for Michael Mahoney is 1144858317. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Michael Mahoney located?

Michael Mahoney practices at 34800 Bob Wilson Dr Ste 14, San Diego, CA 92134. The listed phone number is (636) 634-6383.

What is Michael Mahoney's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Michael Mahoney was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.