Ivy Desiderio-Ayala

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

32326 Clinton Keith Rd Ste 201
Wildomar, CA 92595-7317

Phone

(858) 264-5858

Fax

(858) 649-6012

NPI assigned

Jun 12, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1538054069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 W MALLARD ST",
            "city": "HEBER",
            "state": "CA",
            "postal_code": "922499666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32326 CLINTON KEITH RD STE 201",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957317",
            "telephone_number": "858-264-5858",
            "fax_number": "858-649-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIDERIO-AYALA",
        "first_name": "IVY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benita Delin
• Joseph S Demattia, P.A.-C
• Winnie Deng, PA-C
• Andrew Deraps, RBT
• Claudia Elisabete Desantis, CNS
• Brandon Devera, RBT
• Sarah Devine-Cooter, FNP
• Sakshi Dhakal
• Rajanigandha Dhokarh, M.D
• Diana DO-Yabut and Bryan Watanabe Dental Corporation

• Behavior Technician in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.