Active NPI
William Thomas Mahoney, P.A.
- Physician Assistant
- Whittier, CA
National Provider Identifier
1851331854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11927
- Practice address
- 15725 Whittier Blvd
Suite 350
Whittier, CA 90603-2347 - Phone
- (562) 947-0059
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11927 | CA | Primary |
Addresses
Primary practice location
15725 Whittier Blvd
Suite 350
Whittier, CA 90603-2347
Mailing address
1812 Olive Ave
South Pasadena, CA 91030-4929
Phone (626) 441-3018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11927 | CA | MD | Physician Assistant |
Interoperability endpoints
- william.mahoney.p1@direct.lakeside.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304035200000",
"number": "1851331854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 OLIVE AVE",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304929",
"telephone_number": "626-441-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15725 WHITTIER BLVD",
"address_2": "SUITE 350",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906032347",
"telephone_number": "562-947-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "WILLIAM",
"middle_name": "THOMAS",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2011-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA11927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.