Guadalupe Mondragon-Bautista

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

736593 Issued in CA

Practice address

1733 Euclid Ave
San Diego, CA 92105-5414

Phone

(619) 263-0433

Fax

(619) 263-3992

NPI assigned

May 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1508614561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 MISSION VILLAS RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692075",
            "telephone_number": "702-576-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 EUCLID AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055414",
            "telephone_number": "619-263-0433",
            "fax_number": "619-263-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDRAGON-BAUTISTA",
        "first_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "736593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raka Mondal, PHARMD
• Charleaner Nichole Mondane
• Suzanne Michele Mondell-Cook
• Johnny Konapiliahi Monderen Jr., IDC
• Ashley Mondesir, B.A.
• Giselle Karely Mondragon
• Lisa M Mondzelewski, MD
• Todd Joseph Mondzelewski, M.D.
• Lou Mone, PH.D., L.C.S.W.
• Theia Hipe Monera, PHARM.D.

• Licensed Vocational Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.