Melvyn Mahon II, JD

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1089 Lea Dr
San Rafael, CA 94903-3746

Phone

(510) 200-8993

NPI assigned

Nov 2, 2022

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor

Practice roles

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.

• Quest Programs, Inc.

  dba Eagle Eye - Vista

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Rafael, CA
  • NPI 1093345589
  NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1871200584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 MABEL ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022419",
            "telephone_number": "347-525-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 LEA DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033746",
            "telephone_number": "510-200-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "MELVYN",
        "name_suffix": "II",
        "credential": "JD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "UNKNOEN",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.questprograms.org",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1538 Lea Drive",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madrona Hospice Care Inc
• Aaron Magee
• Janelle R Maglione
• Luke Daniel Cruz Magsino
• Joan Torio Mah, O.D.
• Nikhil Daniel Majumdar, M.D.
• Ken Mak, PHARMD
• Linsey Marie Maldonado Sciutti
• Luz Magdalena Maldonado
• Maria Maldonado, RDA

• Case Manager/Care Coordinator in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.