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ABIGAIL MONDRAGON
NPI 1962279695
Peer Specialist in Banning, CA

Active since December 04, 2023
940 E WILLIAMS ST SUITE 102, BANNING, CA 92220(951) 588-2553(951) 755-8992 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2024, Dec 4, 2023 (2 updates tracked since 2023).

About Abigail Mondragon NPPES

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

ABIGAIL MONDRAGON (NPI 1962279695) is an individual peer specialist in Banning, California, licensed in California (MPSS-DCHAEP) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1962279695
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameABIGAIL MONDRAGON
Location Address940 E WILLIAMS ST SUITE 102Banning, CA 92220
Mailing Address940 E Williams St Suite 102Banning, CA 92220 · (951) 588-2553 · Fax (951) 755-8992
Phone(951) 588-2553
Fax(951) 755-8992
Sole ProprietorYes
Enumeration DateDecember 4, 2023
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1962279695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-DCHAEP
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.
940 E WILLIAMS ST SUITE 102, Banning, CA 92220
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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 Abigail Mondragon's NPI number?

The NPI number for Abigail Mondragon is 1962279695. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Abigail Mondragon located?

Abigail Mondragon practices at 940 E Williams St Suite 102, Banning, CA 92220. The listed phone number is (951) 588-2553.

What is Abigail Mondragon's specialty?

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

When was this NPI record last updated?

The NPPES record for Abigail Mondragon was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.