Active NPI
Mahr F Elder, D.D.S., M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Novato, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 46586
- Practice address
- 1805 Novato Blvd
Suite #1
Novato, CA 94947-2934 - Phone
- (415) 892-1190
- Fax
- (415) 892-7355
- NPI assigned
- Aug 31, 2006
- Last updated
- Mar 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 46586 | CA | Primary |
Addresses
Primary practice location
1805 Novato Blvd
Suite #1
Novato, CA 94947-2934
Mailing address
140 Admiral Callaghan LN Ste B
Vallejo, CA 94591-4005
Phone (707) 552-5644
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9380301 | Other | CA | MEDI-CAL PROVIDER ID# |
| 523194 | Other | CA | MEDI-CAL ID NUMBER |
| 9179922 | Other | CA | CMSP PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46586 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Elder D D S a Professional Corporation | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Partnership Health Services Inc | Current | Accepting new patients | |
| Partnership Health Services Inc | Past | Accepting new patients |
Locations
1590 Webster St
Ste E
Fairfield, CA 94533
Phone (707) 759-5550
1130 Coffee Rd
Modesto, CA 95355
Phone (209) 846-9393
1805 Novato Blvd
Ste 1
Novato, CA 94947
Phone (415) 892-1190
2150 Appian Way
Ste 201
Pinole, CA 94564
Phone (510) 724-3922
125 N Jackson Ave
Ste 202
San Jose, CA 95116
Phone (408) 259-6774
433 Estudillo Ave
San Leandro, CA 94577
Phone (510) 351-9198
433 Estudillo Ave
Ste 306
San Leandro, CA 94577
Phone (510) 483-1600
6529 Inglewood Ave
Stockton, CA 95207
Phone (209) 473-3788
6529 Inglewood Ave
Ste A1
Stockton, CA 95207
Phone (209) 473-3788
140 Admiral Callaghan Ln
Ste B
Vallejo, CA 94591
150 Admiral Callaghan Ln
Ste A
Vallejo, CA 94591
Phone (415) 892-1190
150 Admiral Callaghan Ln
Ste B
Vallejo, CA 94591
19 Rotary Way
Vallejo, CA 94591
Phone (415) 892-1190
5900 Balcones Dr
Ste 100
Austin, TX 78731
3211 W Grand Pkwy N
Ste 600
Katy, TX 77449
Phone (925) 231-1475
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGHHDD/Endpoint/DGHHDD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Pinole, CA
- NPI 1760633341
-
- Surgery Physician
- Katy, TX
- NPI 1942036587
-
- Oral and Maxillofacial Surgery (Dentist)
- Novato, CA
- NPI 1215128988
-
- Durable Medical Equipment & Medical Supplies
- Katy, TX
- NPI 1346139813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1841301371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 ADMIRAL CALLAGHAN LN STE B",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945914005",
"telephone_number": "707-552-5644",
"fax_number": "707-552-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 NOVATO BLVD",
"address_2": "SUITE #1",
"city": "NOVATO",
"state": "CA",
"postal_code": "949472934",
"telephone_number": "415-892-1190",
"fax_number": "415-892-7355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "MAHR",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S., M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "46586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER ID#",
"identifier": "G9380301",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL ID NUMBER",
"identifier": "523194",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMSP PROVIDER NUMBER",
"identifier": "9179922",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
- Easter Seals Northern California
- Kenneth Le Roy Eckhardt, D.C.
- Ecs of Bay Area Optometry Corporation
- Joseph I Eddings
- Brad J Eigen, BSN, MSN FNP
- Elite Transport of North Bay Marin LLC
- William T. Elliott, MD
- Norman Ivan Elloway, D.D.S.
- Els Services, LLC (HomeWell Senior Care)
- Matthew Engel, LCSW, CHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.