Individual provider Active NPI

Kelly Zavala

  • Clinical Social Worker
  • Chula Vista, CA
National Provider Identifier
1043186604
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW134319 Issued in CA
Practice address
272 Church Ave Ste 3
Chula Vista, CA 91910-2718
Phone
(619) 737-2989
Fax
(619) 737-2998
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW134319 CA Primary

Addresses

Primary practice location

272 Church Ave Ste 3
Chula Vista, CA 91910-2718

Mailing address

5371 Topsail Dr
San Diego, CA 92154-8589
Phone (951) 816-2854

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

LicenseStateTypeSpecialty
ASW134319CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
La Verdad Family Therapy Professional Corporation CurrentSince Oct 21, 2025 Accepting new patients

Locations

272 Church Ave
Ste 3
Chula Vista, CA 91910
Phone (619) 737-2989

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1043186604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5371 TOPSAIL DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921548589",
            "telephone_number": "951-816-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CHURCH AVE STE 3",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102718",
            "telephone_number": "619-737-2989",
            "fax_number": "619-737-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW134319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.