YEDID AZAIRA MONDRAGON NPI 1285286641

NPI Information

NPI: 1285286641
Provider Name: YEDID AZAIRA MONDRAGON
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
649 E ALBERTONI ST STE 100
CARSON, CA
ZIP 90746
Phone: (310) 436-9300
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Yedid Azaira Mondragon is a peer specialist in Carson, CA. The provider is 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. Yedid Azaira Mondragon NPI is 1285286641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

649 E ALBERTONI ST STE 100
CARSON, CA
ZIP 90746-538
Phone: (310) 436-9300

The enumeration date for this NPI number is 7/15/2019 and was last updated on 6/23/2023.

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	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator			No
2	172V00000X	Community Health Worker			No
3	175T00000X	Peer Specialist	MPSS-KSQMDE	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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