Individual provider Active NPI

Rose Lydia Ayars, LICSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1154745883
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
136726 Issued in CA
Practice address
2727 De Anza Rd
San Diego, CA 92109-6808
Phone
(619) 605-9971
NPI assigned
Feb 17, 2014
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 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 136726 CA Primary

Addresses

Primary practice location

2727 De Anza Rd
San Diego, CA 92109-6808

Mailing address

4231 Balboa Ave # 1318
San Diego, CA 92117-5504
Phone (619) 605-9971

Other identifiers 1

IdentifierTypeStateIssuer
61413633OtherWALCSW LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20231120001489 WA Practitioner - Clinical Social Worker 3173746682 Reassigns benefits to 1 organization
I20251217004093 OR Practitioner - Clinical Social Worker 3173746682 Reassigns benefits to 1 organization
I20260310003974 CA Practitioner - Clinical Social Worker 3173746682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind PAGroup PAC ID 3577099621, 78 clinicians
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

1400 112TH Ave SE
Suite 100
Bellevue, WA 98004-6901
Phone (866) 630-0966

2029 Century Park E
Suite 400 Office 478
Los Angeles, CA 90067-2957
Phone (415) 360-3348

2829 Buena Vista Rd
Nyssa, OR 97913-5301
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09924226COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Aug 1, 2025 Accepting new patients
Sondermind, P.a. Clinical CurrentSince Nov 4, 2025 Accepting new patients
Brightside Medical, P.C. CurrentSince Feb 1, 2026 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

2103 Harrison Ave NW
Olympia, WA 98502

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1154745883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 BALBOA AVE # 1318",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175504",
            "telephone_number": "619-605-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 DE ANZA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096808",
            "telephone_number": "619-605-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYARS",
        "first_name": "ROSE",
        "middle_name": "LYDIA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-17",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "136726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "61413633",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.