Kendra Rae Mahoney, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A184076 Issued in CA

Practice address

20911 Earl St Ste 440
Torrance, CA 90503-4355

Phone

(310) 419-8585

Fax

(310) 419-8583

NPI assigned

Apr 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, CA, TX3 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 3

Merit-based Incentive Payment System (MIPS)

Final score

96.26 of 100Reported as apm

Quality

84.3

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmahoney2742148@oc.providencedirect.org

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.

• DHP of California Medical Group Inc

  • Obstetrics & Gynecology Physician
  • Stockton, CA
  • NPI 1679836084
  Medicare reassignment NPD
• Arctic Slope Native Association LTD

  • Critical Access Hospital
  • Barrow, AK
  • NPI 1306933643
  Medicare reassignment NPD
• Intermountain Medical Holdings Nevada Inc

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1245997279

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Intermountain Medical Holdings Nevada Inc

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1689882557
  NPD

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1265828776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 440",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034355",
            "telephone_number": "562-688-2108",
            "fax_number": "562-203-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 440",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034355",
            "telephone_number": "310-419-8585",
            "fax_number": "310-419-8583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 E Lake Mead Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890307190",
            "country_code": "US",
            "telephone_number": "702-818-1919",
            "fax_number": "702-399-5499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6355 S Buffalo Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891132133",
            "country_code": "US",
            "telephone_number": "702-255-3547",
            "fax_number": "702-921-2419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "KENDRA",
        "middle_name": "RAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "19137",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A184076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mahmood
• Sarwat Mahmud, M.D.
• Aislyn Rose Mahoney
• Christopher Mahoney, LMFT
• Debra Robin Mahoney, LCSW
• Tam Mai
• Tri Mai, PHARM.D.
• Vy Thuy Mai
• Cherie Wong Maier, MPH, CHES
• Eric William Maier, MS, BCBA

• Obstetrics & Gynecology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.