SearchCalifornia101YA0400X

Jaclyn Mahoney

NPI 1811824675 · on the registry since 2026 · sole proprietor

Practice

Address
412 E. Tunnel St.
Santa Maria, CA 93454
Phone
(805) 925-0315
Fax
(866) 594-7933

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California