WILLIAM M MAHON & JEFFREY M KRAUT MENDOCINO COAST PEDIATRIC MDCL GRP
NPI 1346410230
Clinic/Center - Rural Health in Fort Bragg, CA

Active since March 06, 2008
510 CYPRESS ST STE D, FORT BRAGG, CA 95437(707) 964-5696(707) 964-6274 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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
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

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.

Pediatrics (Adolescent Medicine)
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
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
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 M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp's NPI number?

The NPI number for William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp is 1346410230. It was assigned to this organization in the NPPES registry on March 6, 2008.

Where is William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp located?

William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp is located at 510 Cypress St Ste D, Fort Bragg, CA 95437. The listed phone number is (707) 964-5696.

What is William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.