Gustavo A Mondragon MD A Medical Corporation
NPI 1538670930ActiveOrganization· Internal Medicine, Cardiovascular Disease· Chula Vista, CA
Internal Medicine, Cardiovascular Disease in Chula Vista, California, registered in NPPES in October 2017. The authorized official on file is Gustavo Arturo Mondragon, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538670930 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2017 |
| Last updated in NPPES | Oct 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | A40640 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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