MR. MATTHEW LAWRENCE MONGILLO BA, AA, MHRS, RE
NPI 1609949734
Rehabilitation Practitioner in San Jose, CA

Q: What is Matthew Mongillo's NPI number?

The NPI number for Matthew Mongillo is 1609949734. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Matthew Mongillo's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Mongillo was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 November 16, 2006

232 E GISH RD, SAN JOSE, CA 95112(669) 221-0148 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, Jun 27, 2025, May 24, 2023 and 1 more (4 updates tracked since 2023).

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About Mr. Matthew Lawrence Mongillo Ba, Aa, Mhrs, Re NPPES

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

MR. MATTHEW LAWRENCE MONGILLO BA, AA, MHRS, RE (NPI 1609949734) is an individual rehabilitation practitioner in San Jose, California and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1609949734

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameMR. MATTHEW LAWRENCE MONGILLOCredential: BA, AA, MHRS, RE

Location Address232 E GISH RDSan Jose, CA 95112-4706

Mailing Address232 E Gish RdSan Jose, CA 95112-4706 · (669) 221-0148

Phone(669) 221-0148

Sole ProprietorNo

Enumeration DateNovember 16, 2006

Last NPPES UpdateJuly 9, 20254 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1609949734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

232 E GISH RD, San Jose, CA 95112

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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.

MR. CARLOS VILLARREAL III

Case Management