JAY P. MONGIARDO MD
NPI 1336208917
Family Medicine in San Diego, CA

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-5000 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jay P. Mongiardo Md NPPES

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

JAY P. MONGIARDO MD (NPI 1336208917) is an individual family medicine provider in San Diego, California, licensed in California (A63772) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1996).

NPPES Registry Identity

NPI1336208917
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAY P. MONGIARDOCredential: MD
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address4647 Zion AveSan Diego, CA 92120-2507 · (619) 528-5000
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1996
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 1, 2021
NPI 1336208917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A63772
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4647 ZION AVE, San Diego, CA 92120

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jay P. Mongiardo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264624550
PECOS Enrollment IDI20101005000584
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Mongiardo's NPI number?

The NPI number for Jay Mongiardo is 1336208917. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Jay Mongiardo located?

Jay Mongiardo practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (619) 528-5000.

What is Jay Mongiardo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jay Mongiardo enrolled in Medicare?

Yes. Jay Mongiardo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jay Mongiardo was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.