Kelly Ayala, DNP, APNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95020954 Issued in CA

Practice address

1459 18TH St # 206
San Francisco, CA 94107-2801

Phone

(415) 580-0806

NPI assigned

Nov 1, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, CA, MN3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

University of Wisconsin School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Corr Health Wi, SCGroup PAC ID 2163877879, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.ayala.p1@direct.metro.nextgenshare.com
• Direct secure messaging: kelly.ayala@672894380343300.direct.elationemr.com

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.

• Corr Health Wi, SC

  • General Practice Physician
  • Milwaukee, WI
  • NPI 1508641291

  MN

  Medicare reassignment Care Compare group NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448
  Medicare reassignment NPD
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086
  Medicare reassignment NPD
• Nagasamudra S Ashok MD Inc

  • Internal Medicine Physician
  • San Jacinto, CA
  • NPI 1477647386
  Medicare reassignment
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wauwatosa, WI
  • NPI 1154947224
  NPD
• Blessing Community Health Center

  • Public Health & General Preventive Medicine Physician
  • San Bernardino, CA
  • NPI 1558981381
  NPD (past)
• Blessing Community Health Center

  • Case Manager/Care Coordinator
  • San Bernardino, CA
  • NPI 1689523763
  NPD (past)
• San Marcos Medical Group Inc.

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1184674830
  NPD (past)
• San Marcos Medical Group Inc.

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1548210297
  NPD (past)

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1093282634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 18TH ST # 206",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072801",
            "telephone_number": "415-580-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 18TH ST # 206",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072801",
            "telephone_number": "415-580-0806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "742 W Highland Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924053839",
            "country_code": "US",
            "telephone_number": "909-881-7320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923765153",
            "country_code": "US",
            "telephone_number": "909-546-1050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4990 Arlington Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925042757",
            "country_code": "US",
            "telephone_number": "951-785-9011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7576 Sterling Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924104273",
            "country_code": "US",
            "telephone_number": "909-381-8983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7965 Sierra Ave",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923363329",
            "country_code": "US",
            "telephone_number": "909-356-4459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1574 W Base Line St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924111777",
            "country_code": "US",
            "telephone_number": "909-386-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 W Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923242249",
            "country_code": "US",
            "telephone_number": "909-825-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3972 N Waterman Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924041767",
            "country_code": "US",
            "telephone_number": "909-433-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12980 Frederick St Ste I",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925535263",
            "country_code": "US",
            "telephone_number": "951-243-3868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "264 N Highland Springs Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Banning",
            "state": "CA",
            "postal_code": "922203045",
            "country_code": "US",
            "telephone_number": "951-769-7191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "KELLY",
        "credential": "DNP, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "8788-33",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95020954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093282634",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxana Salcedo Ayala-Quintero, MA, LMFT
• Angelica Ayala
• Anna Ayala
• Gila Ayala, NP
• Gisselle Ayala
• Kimberly Ayala
• Rosamunda Maria Ayala
• Enrique Reyes Ayalde Jr.
• Salam Zelalem Ayana
• Josephine Oluseun Ayankoya

• Primary Care Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.

Verify at the official NPI Registry.