MENDOCINO COAST PEDIATRIC MDCL GRP
NPI 1184644627
Pediatrics - Adolescent Medicine in Fort Bragg, CA

Q: What is William M Mahon & Jeffrey M Kraut's NPI number?

The NPI number for William M Mahon & Jeffrey M Kraut is 1184644627. It was assigned to this organization in the NPPES registry on July 20, 2006. The provider is doing business as Mendocino Coast Pediatric Mdcl Grp.

Q: What is William M Mahon & Jeffrey M Kraut's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since July 20, 2006

510 CYPRESS ST STE D, FORT BRAGG, CA 95437(707) 964-5696(707) 964-6274 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mendocino Coast Pediatric Mdcl Grp NPPES

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

MENDOCINO COAST PEDIATRIC MDCL GRP (NPI 1184644627) is a healthcare organization registered as an adolescent medicine in Fort Bragg, California and active in the NPI registry since July 2006. The organization lists William Matthew Mahon, Partner/administrator, as its authorized official.

NPPES Registry Identity

NPI1184644627

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameWILLIAM M MAHON & JEFFREY M KRAUT

Location Address510 CYPRESS ST STE DFort Bragg, CA 95437-5411

Mailing Address510 Cypress St Ste DFort Bragg, CA 95437-5411 · (707) 964-5696 · Fax (707) 964-6274

Phone(707) 964-5696

Fax(707) 964-6274

Organization SubpartNo

Authorized OfficialWilliam Matthew MahonPartner/administrator · (707) 964-5696

Enumeration DateJuly 20, 2006

Last NPPES UpdateDecember 16, 2010

✔ NPI 1184644627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

510 CYPRESS ST STE D, Fort Bragg, CA 95437

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Other Names 1

Doing Business AsMendocino Coast Pediatric Mdcl Grp

Other Identifiers 3

Medicare ID-Type Unspecified553843CA

MedicaidRHM53843FCA

MedicaidZZZ79185ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM MATTHEW MAHON M.D.

Pediatrics (Adolescent Medicine)