Martha Ayala

Individual provider Active NPI Social Worker · San Pablo, CA

NPI 1104240894 · NPPES record last updated Feb 14, 2014

Key facts

NPI
1104240894
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
1942 Bush Ave
Apt 103
San Pablo, CA 94806-4752
Phone
(650) 518-1277
NPI assigned
Feb 14, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

1942 Bush Ave
Apt 103
San Pablo, CA 94806-4752

Mailing address

1942 Bush Ave
San Pablo, CA 94806-4752

Other providers in San Pablo, CA

All providers in San Pablo, CA · Social Worker in California

Sources for this page

Verify at the official NPI Registry.