Individual provider Active NPI

David Blair Mahoney, M.D.

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1205039872
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C194569 Issued in CA
Practice address
235 S Palisade Dr
Santa Maria, CA 93454-5948
Phone
(805) 739-3561
Fax
(805) 739-3560
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35184 SC
Family Medicine Physician 207Q00000X C194569 CA Primary

Addresses

Primary practice location

235 S Palisade Dr
Santa Maria, CA 93454-5948

Mailing address

235 S Palisade Dr
Santa Maria, CA 93454-5948
Phone (805) 739-3561

Other identifiers 1

IdentifierTypeStateIssuer
351844MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121113000593 SC Practitioner - Family Practice 0042495616 Reassigns benefits to 1 organization
I20240410002946 CA Practitioner - Family Practice 0042495616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast in-Patient Consultants IncGroup PAC ID 8325137714, 33 clinicians
Pacific Central Coast Health CentersGroup PAC ID 9739091364, 247 clinicians

Practice addresses (Care Compare)

1400 E Church St
Santa Maria, CA 93454-5906
Phone (805) 739-3000

235 S Palisade Dr
Santa Maria, CA 93454-5906
Phone (805) 739-3561

Hospital & facility affiliations

  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C194569CAMDFamily Medicine Physician
35184SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast in-Patient Consultants, Inc. Family Medicine CurrentSince Jun 12, 2024 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Apr 1, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Nov 1, 2015 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Apr 1, 2024 Accepting new patients
Roper Saint Francis Physicians Network Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Hospital Inc Past Accepting new patients
Charlottesville Wellness Center Family Practice Family Medicine PastSince Feb 16, 2023 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Martha Jefferson Hospital Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1414 E Main St
Ste 201
Santa Maria, CA 93454
Phone (805) 739-3112

235 S Palisade Dr
Santa Maria, CA 93454
Phone (805) 739-3561

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

4278 Ladson Rd
Ladson, SC 29456
Phone (843) 203-2240

1400 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 884-0301

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: david.mahoney@hca6.eclinicaldirectplus.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1205039872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S PALISADE DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545948",
            "telephone_number": "805-739-3561",
            "fax_number": "805-739-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S PALISADE DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545948",
            "telephone_number": "805-739-3561",
            "fax_number": "805-739-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "DAVID",
        "middle_name": "BLAIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "35184",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C194569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351844",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.