Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Derek S Mongold, MD

Individual provider Family Medicine Physician · NPI 1700099264

Dr. Derek S Mongold, MD is a Psychiatry in Antioch, California. Graduated from West Virginia University School of Medicine in 2005, 21 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Virginia and West Virginia.

Years since qualifying
21
Trained at
West Virginia University School of Medicine
Licensed in
CA, VA, WV
In the registry since
2007
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Delta Fair Blvd
Antioch, CA 94509-4004
Phone: (925) 777-6399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A122589 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A122589 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 22903 (WV)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101251845 (VA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 0101251845 (VA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 22903 (WV)

Record details

NPI number1700099264
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESDecember 15, 2021
Mailing address3400 Delta Fair Blvd, Antioch, CA 94509-4004

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Also practisesFAMILY PRACTICE
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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