NPI Information

  • NPI: 1174863294
  • Provider Name: GABRIEL SAUL MONDRAGON
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 125 W THOUSAND OAKS BLVD STE 500
    THOUSAND OAKS, CA
    ZIP 91360
  • Phone: (805) 777-3500

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NPI Details

Gabriel Saul Mondragon is a student in an organized health care education training program in Thousand Oaks, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Gabriel Saul Mondragon NPI is 1174863294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA
ZIP 91360-462
Phone: (805) 777-3500

The enumeration date for this NPI number is 2/26/2013 and was last updated on 2/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramD9927819CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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