Thomas M Mahoney, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A54815 Issued in CA

Practice address

7777 Sunrise Blvd
Suite 2500
Citrus Heights, CA 95610-2300

Phone

(916) 722-2227

Fax

(877) 860-5422

NPI assigned

Apr 10, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Medical Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Lodi, CA
  • NPI 1891529061
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1184867814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "916-564-0521",
            "fax_number": "877-860-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SUNRISE BLVD",
            "address_2": "SUITE 2500",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102300",
            "telephone_number": "916-722-2227",
            "fax_number": "877-860-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-DV5277",
            "identifier": "P01463667-EFF3/18/15",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFFECTIVE- 1/22/2015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Maes
• Magnificent Home Health Services LLC
• Magnolia Branch Counseling Center, Incorporated
• Mahaloha Care LLC
• Karista Mahoney
• Carol A Mahr, M.S.
• Nakia Nehea'Lani Makalena
• Makena Bay, LLC
• Holley Gonder Malchow
• Marcela Maldonado

• Family Medicine Physician in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.