Individual provider Active NPI

Maritza Evelyn Ayala, LCSW

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1104414655
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
86903 Issued in CA
Practice address
211 Radicchio Ave
Bakersfield, CA 93307-7099
Phone
(661) 703-0879
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 86903 CA Primary

Addresses

Primary practice location

211 Radicchio Ave
Bakersfield, CA 93307-7099

Mailing address

211 Radicchio Ave
Bakersfield, CA 93307-7099
Phone (661) 703-0879

Other practice location 1

5801 Sundale Ave
Bakersfield, CA 93309-2924
Phone (661) 827-3100

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

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1104414655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 RADICCHIO AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933077099",
            "telephone_number": "661-703-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 RADICCHIO AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933077099",
            "telephone_number": "661-703-0879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Sundale Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933092924",
            "country_code": "US",
            "telephone_number": "661-827-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "MARITZA",
        "middle_name": "EVELYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.