MR. VENNY MONDRAGON (NPI# 1104101377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104101377 |
| Entity Type | Individual |
| Full Name | MR. VENNY MONDRAGON |
| Practice Address |
2090 Commerce Ave Concord CA 94520-4902 |
| Practice Telephone | 9256762580 |
| Practice Fax Number | 9256763275 |
| Mailing Telephone | 9256762580 |
| Mailing Fax Number | 9256763275 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAS 103426 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CAARR | CAS 103426 | 01 |
| Street Address |
2090 COMMERCE AVE |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154541977 | Natalie K Perry-matzke | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2007-04-26 |
| 1487281424 | Michael Patrick Joseph Young | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2020-03-26 |
| 1912530296 | Pablo Martinez | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2020-02-15 |
| 1508420753 | Samuel Lee Gray | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2019-04-23 |
| 1336657642 | Carmen Alexis | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2018-01-21 |
| 1942747654 | Consepcion Camou Greenhouse | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2017-01-20 |
| 1225574759 | Frederick Jackson | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2017-01-08 |
| 1164968699 | Juan Gomez | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2017-01-08 |
| 1548547599 | Mark W Brittingham | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2011-11-04 |
| 1447535612 | Victor Ortega | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2011-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436268 | Josette Hoffman Skinner | Counselor | 51 Park Dr Sw, Concord, NC 28027-7029 | 2020-10-29 |
| 1811504574 | Kaci Tolen | Counselor | 2085 Solano Way Apt A, Concord, CA 94520-4781 | 2020-09-28 |
| 1407496391 | Amanda J Deprosse | Counselor | 4713 Curletto Dr, Concord, CA 94521-2125 | 2020-01-09 |
| 1093357634 | Virginia Ann Booth | Counselor | 1470 Civic Ct # 100, Concord, CA 94520-5290 | 2019-10-15 |
| 1538726146 | Ashley Halabi | Counselor | 250 Pleasant St Ste 5410, Concord, NH 03301-2598 | 2019-05-20 |
| 1578025383 | A New Pathway LLC | Counselor | 150 Piney Church Rd, Concord, NC 28025-7081 | 2019-04-01 |
| 1730660499 | Christopher Brian Mulcahy | Counselor | 4 Bicentennial Sq Ste 6, Concord, NH 03301-4069 | 2018-08-22 |
| 1235625666 | Elizabeth Pellegrini | Counselor | 90 Airport Rd Ste 17, Concord, NH 03301-5326 | 2018-07-09 |
| 1295249399 | Contra Costa County | Counselor | 2047c Arnold Industrial Way, Concord, CA 94520-5342 | 2017-11-28 |
| 1104362672 | David Swaim | Counselor | 1470 Civic Ct Ste 111, Concord, CA 94520-5290 | 2017-01-09 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.