Active NPI
Chanthel Kokoy-Mondragon, M.D.
- Gastroenterology Physician
- Valencia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A161672
- Practice address
- 25775 McBean Pkwy Ste 214
Valencia, CA 91355-3703 - Phone
- (661) 255-2420
- Fax
- (661) 753-0552
- NPI assigned
- Mar 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gastroenterology Physician | 207RG0100X | A161672 | CA | Primary |
Addresses
Primary practice location
25775 McBean Pkwy Ste 214
Valencia, CA 91355-3703
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Drexel University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Regents of the University of California
Practice addresses (Care Compare)
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
25775 McBean Pkwy
Valencia, CA 91355-3703
25775 McBean Pkwy
Suite 108
Valencia, CA 91355-3702
Phone (661) 255-8252
25775 W McBean Pkwy
Suite 115
Valencia, CA 91355-3702
Phone (661) 255-2420
Hospital & facility affiliations
- Henry Mayo Newhall Hospital
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 79.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 88 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 76 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A161672 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Gastroenterology | Current | Accepting new patients |
| The Regents of the University of California | Current | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients | |
| Henry Mayo Newhall Memorial Hospital | Past | Accepting new patients |
Locations
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
File 55737
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
4343 Lankershim Blvd
Ste 210
North Hollywood, CA 91602
Phone (818) 843-9038
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
248 Hampshire Rd
Ste 210
Thousand Oaks, CA 91361
Phone (805) 370-0040
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
25775 McBean Pkwy
Ste 115
Valencia, CA 91355
Phone (661) 255-2420
25775 McBean Pkwy
Ste 214
Valencia, CA 91355
Phone (661) 255-2420
7320 Woodlake Ave
Ste 320
West Hills, CA 91307
Phone (818) 436-7686
Interoperability endpoints
- ckokoymondragon1004759@direct.uclahealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Thousand Oaks, CA
- NPI 1205566544
-
- Ambulatory Surgical Clinic/Center
- West Hills, CA
- NPI 1215381843
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
Gastroenterology
-
- Ambulatory Surgical Clinic/Center
- North Hollywood, CA
- NPI 1366041469
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1093178659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707",
"fax_number": "310-301-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25775 MCBEAN PKWY STE 214",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913553703",
"telephone_number": "661-255-2420",
"fax_number": "661-753-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKOY-MONDRAGON",
"first_name": "CHANTHEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-31",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A161672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.