GUSTAVO A MONDRAGON MD A MEDICAL CORPORATION
NPI 1538670930
Internal Medicine - Cardiovascular Disease in Chula Vista, CA
About Gustavo A Mondragon Md A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUSTAVO A MONDRAGON MD A MEDICAL CORPORATION (NPI 1538670930) is a healthcare organization registered as a cardiovascular disease in Chula Vista, California and active in the NPI registry since October 2017. The organization lists Gustavo Arturo Mondragon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gustavo A Mondragon Md A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Gustavo A Mondragon MD A Medical Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gustavo A Mondragon MD A Medical Corporation's NPI number?
The NPI number for Gustavo A Mondragon MD A Medical Corporation is 1538670930. It was assigned to this organization in the NPPES registry on October 12, 2017.
Where is Gustavo A Mondragon MD A Medical Corporation located?
Gustavo A Mondragon MD A Medical Corporation is located at 480 Fourth Ave Ste 500, Chula Vista, CA 91910. The listed phone number is (619) 656-5252.
What is Gustavo A Mondragon MD A Medical Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Gustavo A Mondragon MD A Medical Corporation enrolled in Medicare?
Yes. Gustavo A Mondragon MD A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gustavo A Mondragon MD A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gustavo A Mondragon MD A Medical Corporation, in Cardiovascular Disease (Cardiology) and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gustavo A Mondragon MD A Medical Corporation was last updated on October 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Gustavo A Mondragon Md A Medical Corporation · NPI 1538670930
Cardiovascular Disease organization in Chula Vista, California. Organization record, active in the CMS NPPES registry since October 12, 2017.
## Identity
- **NPI:** 1538670930 (Entity type: Organization)
- **Enumerated:** October 12, 2017
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Gustavo Mondragon, PRESIDENT
## Practice location
- **Address:** 480 FOURTH AVE STE 500, Chula Vista, CA 91910-4414
- **Phone:** (619) 656-5252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (1), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1538670930) · Data from the CMS NPPES public registry.