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

Individual provider Family Medicine Physician · NPI 1770773434

Gustavo Antonio Mondragon Jr., MD is a Family Practice in Chula Vista, California. Qualified in 2001, 25 years ago. Practices with Gustavo a Mondragon M D a Medical Corporation, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2007
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

480 Fourth Ave Ste 500
Chula Vista, CA 91910-4414
Phone: (619) 656-5252
Fax: (619) 656-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A112588 (CA)

Record details

NPI number1770773434
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 30, 2007
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Gustavo A Mondragon M D A Medical Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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