Active NPI
Alyssa Alexis Mondragon
- Social Worker
- Pomona, CA
National Provider Identifier
1396386629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW115637
- Practice address
- 831 E Arrow Hwy
Pomona, CA 91767-2535 - Phone
- (909) 624-1233
- NPI assigned
- Oct 8, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 115637 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | ASW115637 | CA | Primary |
Addresses
Primary practice location
831 E Arrow Hwy
Pomona, CA 91767-2535
Mailing address
25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115637 | Other | CA | BBS |
Other names 1
- Alyssa Alexis Lopez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW115637 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1396386629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25910 ACERO STE 160",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926912777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 E ARROW HWY",
"city": "POMONA",
"state": "CA",
"postal_code": "917672535",
"telephone_number": "909-624-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDRAGON",
"first_name": "ALYSSA",
"middle_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-08",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "115637",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW115637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS",
"identifier": "115637",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "LOPEZ",
"middle_name": "ALEXIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.