Pablo Ayala, MSW
Individual provider Active NPI Clinical Social Worker · San Pedro, CA
NPI 1497511596 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1497511596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 94632 (CA)
- Practice address
- 150 W 7TH St
San Pedro, CA 90731-3320 - Phone
- (310) 519-6100
- NPI assigned
- Feb 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94632 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 94632 | CA | Yes |
| Mental Health Counselor | 101YM0800X | 94632 | CA |
Addresses
Primary practice location
150 W 7TH St
San Pedro, CA 90731-3320
Mailing address
1360 W 6TH St Ste 200
San Pedro, CA 90732-3561
Phone (310) 519-6100
Other providers in San Pedro, CA
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- Robert F Autore
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- Sabrina Avila
- Leopoldo Aviles Arenas
- Kathryn Ayoob
- Justin Bret Ayres
- Ante Babich
- Back to Life Wellness Center Inc.
- Anna Back
All providers in San Pedro, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.