Individual provider Active NPI

Luis Alberto Ayala, M.D.

  • Pediatrics Physician
  • Redwood City, CA
National Provider Identifier
1285730929
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A60697 Issued in CA
Practice address
801 Brewster Ave.
Suite 250
Redwood City, CA 94063-1556
Phone
(650) 368-8583
Fax
(650) 361-8396
NPI assigned
Sep 16, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A60697 CA Primary

Addresses

Primary practice location

801 Brewster Ave.
Suite 250
Redwood City, CA 94063-1556

Mailing address

801 Brewster Ave.
Suite 250
Redwood City, CA 94063-1556
Phone (650) 368-8583

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616001321 CA Practitioner - Pediatric Medicine 9234113234 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60697CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc Current Accepting new patients
La Clinica de la Raza Inc CurrentSince Apr 1, 2025 Accepting new patients
La Clinica de la Raza, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Sequoia Health Services Past Accepting new patients
La Clinica de la Raza, Inc. Past Accepting new patients
Hanford Community Hospital Past Accepting new patients
Luis a Ayala, M.D., Inc. PastSince Jun 3, 2025 Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

3451 E 12th St
Oakland, CA 94601
Phone (510) 535-3319

3451 E 12th St
Fl 2
Oakland, CA 94601
Phone (510) 535-3319

2021 Main St
Oakley, CA 94561
Phone (925) 776-8200

220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900

Organizations & group practices 9

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1285730929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BREWSTER AVE.",
            "address_2": "SUITE 250",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631556",
            "telephone_number": "650-368-8583",
            "fax_number": "650-361-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BREWSTER AVE.",
            "address_2": "SUITE 250",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631556",
            "telephone_number": "650-368-8583",
            "fax_number": "650-361-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A60697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.