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GUSTAVO ARTURO MONDRAGON M.D.
NPI 1619080041
Internal Medicine - Cardiovascular Disease in Chula Vista, CA

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
480 FOURTH AVE STE 500, CHULA VISTA, CA 91910(619) 656-5252(619) 656-5250 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gustavo Arturo Mondragon M.d. NPPES

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

GUSTAVO ARTURO MONDRAGON M.D. (NPI 1619080041) is an individual cardiovascular disease provider in Chula Vista, California, licensed in California (A40640) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1619080041
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameGUSTAVO ARTURO MONDRAGONCredential: M.D.
Location Address480 FOURTH AVE STE 500Chula Vista, CA 91910-4414
Mailing Address480 Fourth Ave Ste 500Chula Vista, CA 91910-4414 · (619) 656-5252 · Fax (619) 656-5250
Phone(619) 656-5252
Fax(619) 656-5250
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateAugust 17, 2006
Last NPPES UpdateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
✔ NPI 1619080041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · A40640
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
480 FOURTH AVE STE 500, Chula Vista, CA 91910
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A406400CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gustavo Arturo Mondragon M.d. 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 ID6406740463
PECOS Enrollment IDI20070510000417
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gustavo Mondragon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gustavo A Mondragon MD A Medical Corporation
Same address
Cardiovascular Disease
480 FOURTH AVE STE 500
Chula Vista, CA 91910
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Gustavo A Mondragon M D A Medical Corporation
  • 2 clinicians in this Medicare group
NPI 1538670930 (619) 656-5252
Emergency And Acute Care Medical Corporation
12 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
403 services125 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
368 services122 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
69 services60 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
69 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91910 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
2 suppliers12 claims24 services$0.45 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers85 claims237 services$6.48 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers28 claims29 services$2.84 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
2 suppliers13 claims13 services$1.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers43 claims84 services$1.15 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$2.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

GUSTAVO A MONDRAGON MD A MEDICAL CORPORATION
Internal Medicine (Cardiovascular Disease)
480 FOURTH AVE STE 500
CHULA VISTA, CA 91910
San Diego County (619) 656-5252

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 Mondragon's NPI number?

The NPI number for Gustavo Mondragon is 1619080041. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Gustavo Mondragon located?

Gustavo Mondragon practices at 480 Fourth Ave Ste 500, Chula Vista, CA 91910. The listed phone number is (619) 656-5252.

What is Gustavo Mondragon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gustavo Mondragon enrolled in Medicare?

Yes. Gustavo Mondragon 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.

Which organizations bill Medicare for Gustavo Mondragon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Mondragon reassigns Medicare benefits to 2 organizations: Gustavo A Mondragon MD A Medical Corporation (Chula Vista, CA) and Emergency And Acute Care Medical Corporation (San Diego, CA). Each 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 Gustavo Mondragon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gustavo Mondragon was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.