Alvin R Mahoney, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G59931 Issued in CA

Practice address

14850 Roscoe Blvd
Panorama City, CA 91402-4618

Phone

(818) 904-3635

Fax

(888) 235-1709

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Psychiatry

Education

Howard University College of Medicine, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Community Hospital Hospital, Panorama City, CA, CCN 050704

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Deanco Healthcare LLC

  dba Mission Community Hospital

  • General Acute Care Hospital
  • Panorama City, CA
  • NPI 1750365375
  Care Compare affiliation

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1447257845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 FOOTHILL BLVD",
            "address_2": "# E570",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111456",
            "telephone_number": "818-636-8562",
            "fax_number": "888-235-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024618",
            "telephone_number": "818-904-3635",
            "fax_number": "888-235-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "ALVIN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G59931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G599310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas J. Magner, MD
• Mahfouz M. Gereis DDS, Inc (Van Nuys Panorama Dental Cener)
• Mahfouz M. Michael,M.D.,Inc. (Clinica Medica San Miguel)
• Dana Mahin, MD
• Hossein Mahmoudi
• Mark G Malkowski, MFT
• Marvin Gil Manalo
• Magdalena Kula Manchee, MD
• Vincent Joseph Mangiafridda, PHARM D
• Manila Eyeglass Center

• Psychiatry Physician in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.