DR. WILLIAM MATTHEW MAHON M.D.
NPI 1184646259
Pediatrics - Adolescent Medicine in Fort Bragg, CA

Active since July 24, 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: February 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William Matthew Mahon M.d. NPPES

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

DR. WILLIAM MATTHEW MAHON M.D. (NPI 1184646259) is an individual adolescent medicine provider in Fort Bragg, California, licensed in California (G30967) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1184646259
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. WILLIAM MATTHEW MAHONCredential: M.D.
Location Address510 CYPRESS ST STE DFort Bragg, CA 95437-5411
Mailing Address205 South StFort Bragg, CA 95437-5540 · (707) 964-1251
Fax(707) 964-6274
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 15, 2012
NPI 1184646259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in CA · G30967
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

Other Identifiers 3

Medicare ID-Type Unspecified553843CA
MedicaidOOG309670CA
Medicare UPINA44620CA

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.

Pediatrics (Adolescent Medicine)
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
Pediatrics (Adolescent Medicine)
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
Clinic/Center (Federally Qualified Health Center (FQHC))
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
Clinic/Center (Rural Health)
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
Pediatrics
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
Pediatrics
510 CYPRESS ST STE D
FORT BRAGG, CA 95437

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 William Mahon's NPI number?

The NPI number for William Mahon is 1184646259. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is William Mahon located?

William Mahon practices at 510 Cypress St Ste D, Fort Bragg, CA 95437. The listed phone number is (707) 964-5696.

What is William Mahon's specialty?

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

When was this NPI record last updated?

The NPPES record for William Mahon was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.