Active NPI
Melissa Marie Zavala
- Clinical Social Worker
- Lancaster, CA
National Provider Identifier
1396255485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114748
- Practice address
- 43520 Division St
Lancaster, CA 93535-4089 - Phone
- (661) 266-4783
- NPI assigned
- Oct 3, 2017
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114748 | CA | Primary |
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | CA | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
43520 Division St
Lancaster, CA 93535-4089
Mailing address
43520 Division St
Lancaster, CA 93535-4089
Phone (661) 266-4783
Other practice location 1
867 N Fair Oaks Ave
Pasadena, CA 91103-3050
Phone (661) 418-4489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2633765 | Other | CA | MEDI-CAL |
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 |
|---|---|---|---|
| 114748 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1396255485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43520 DIVISION ST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935354089",
"telephone_number": "661-266-4783",
"fax_number": "661-266-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43520 DIVISION ST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935354089",
"telephone_number": "661-266-4783"
}
],
"practiceLocations": [
{
"address_1": "867 N Fair Oaks Ave",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911033050",
"country_code": "US",
"telephone_number": "661-418-4489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAVALA",
"first_name": "MELISSA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "114748",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.