Individual provider Active NPI

Mayra Alejandra Gomez Padua, PHD

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1114614013
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34113 Issued in CA
Practice address
400 Parnassus Ave FL 4
San Francisco, CA 94143-2202
Phone
(415) 353-7019
Fax
(415) 353-9522
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34113 CA Primary

Addresses

Primary practice location

400 Parnassus Ave FL 4
San Francisco, CA 94143-2202

Mailing address

400 Parnassus Ave FL 4
San Francisco, CA 94143-2202
Phone (415) 353-7019

Other practice location 1

1645 Golden Gate Ave Apt 4
San Francisco, CA 94115-4545
Phone (858) 291-9230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629001864 CA Practitioner - Clinical Psychologist 6103285796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Psychiatry CurrentSince Apr 30, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 30, 2023 Accepting new patients
University of California San Francisco CurrentSince Apr 30, 2023 Accepting new patients
University of California San Francisco CurrentSince Apr 30, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 30, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

400 Parnassus Ave
Fl 4
San Francisco, CA 94143
Phone (415) 353-2421

Organizations & group practices 6

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1114614013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-353-7019",
            "fax_number": "415-353-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-353-7019",
            "fax_number": "415-353-9522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Golden Gate Ave Apt 4",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941154545",
            "country_code": "US",
            "telephone_number": "858-291-9230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ PADUA",
        "first_name": "MAYRA",
        "middle_name": "ALEJANDRA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.