YEDID AZAIRA MONDRAGON
NPI 1285286641
Peer Specialist in Carson, CA

Q: What is Yedid Mondragon's NPI number?

The NPI number for Yedid Mondragon is 1285286641. It was assigned to this individual provider in the NPPES registry on July 15, 2019. The provider is also known as Yedid Mendoza.

Q: What is Yedid Mondragon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Yedid Mondragon was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2019

649 E ALBERTONI ST STE 100, CARSON, CA 90746(310) 436-9300 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2023, Jul 15, 2019 (2 updates tracked since 2019).

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About Yedid Azaira Mondragon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YEDID AZAIRA MONDRAGON (NPI 1285286641) is an individual peer specialist in Carson, California, licensed in California (MPSS-KSQMDE) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1285286641

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameYEDID AZAIRA MONDRAGON

Location Address649 E ALBERTONI ST STE 100Carson, CA 90746-1538

Mailing Address649 E Albertoni St Ste 100Carson, CA 90746-1538 · (310) 436-9300

Phone(310) 436-9300

Sole ProprietorNo

Enumeration DateJuly 15, 2019

Last NPPES UpdateJune 23, 20232 updates tracked since enumeration

NPPES CertifiedJune 23, 2023

✔ NPI 1285286641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-KSQMDE

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

649 E ALBERTONI ST STE 100, Carson, CA 90746

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Other Names 1

Other Name (5)Yedid Mendoza

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAUDIA MONET MARIN

Marriage & Family Therapist