WILLIAM M MAHON & JEFFREY M KRAUT MENDOCINO COAST PEDIATRIC MDCL GRP - NPI 1346410230

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

On this page

About William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp NPPES

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

WILLIAM M MAHON & JEFFREY M KRAUT MENDOCINO COAST PEDIATRIC MDCL GRP (NPI 1346410230) is a healthcare organization registered as a rural health in Fort Bragg, California and active in the NPI registry since March 2008. The organization lists William Matthew Mahon, Partner/administrator, as its authorized official.

NPPES Registry Identity

NPI1346410230

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameWILLIAM M MAHON & JEFFREY M KRAUT MENDOCINO COAST PEDIATRIC MDCL GRP

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 DateMarch 6, 2008

Last NPPES UpdateJune 16, 2008

✔ NPI 1346410230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in CA · 553843

510 CYPRESS ST STE D, Fort Bragg, CA 95437

Open in Google Maps ↗

Other Identifiers 1

MedicaidRHM53843FCA

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.

WILLIAM M MAHON & JEFFREY M KRAUT

Pediatrics (Adolescent Medicine)