SOPHIE MAHANEY MD
NPI 1720722168
General Practice in Camp Pendleton, CA

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

Active since April 22, 2022PECOS Enrolled

200 MERCY CIRCLE, CAMP PENDLETON, CA 92055(609) 712-1320 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sophie Mahaney Md NPPES

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

SOPHIE MAHANEY MD (NPI 1720722168) is an individual general practice provider in Camp Pendleton, California, licensed in Virginia (0101279331) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720722168

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameSOPHIE MAHANEYCredential: MD

Location Address200 MERCY CIRCLECamp Pendleton, CA 92055-5191

Mailing AddressPo Box 555191Camp Pendleton, CA 92055-5191

Phone(609) 712-1320

Sole ProprietorNo

Enumeration DateApril 22, 2022

Last NPPES UpdateAugust 28, 2024

NPPES CertifiedAugust 28, 2024

✔ NPI 1720722168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0101279331

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

200 MERCY CIRCLE, Camp Pendleton, CA 92055

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophie Mahaney Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.