Active NPI
Mayra Lopez
- Clinical Social Worker
- Santa Clara, CA
National Provider Identifier
1316314719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111980
- Practice address
- 5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140 - Phone
- (323) 205-7088
- NPI assigned
- Sep 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 111980 | CA | Primary |
Addresses
Primary practice location
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Mailing address
16255 Devonshire St Unit 59
Granada Hills, CA 91344-6958
Phone (626) 825-5331
Other practice location 1
5425 Pomona Blvd
Los Angeles, CA 90022-1716
Phone (323) 728-0411 ext. 118
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111980 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1316314719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16255 DEVONSHIRE ST UNIT 59",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446958",
"telephone_number": "626-825-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 GREAT AMERICA PKWY STE 320",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541140",
"telephone_number": "323-205-7088"
}
],
"practiceLocations": [
{
"address_1": "5425 Pomona Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900221716",
"country_code": "US",
"telephone_number": "323-728-0411 x118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "MAYRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "111980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.