Individual provider Active NPI

Maya Sutta-Gomez

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1801405972
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
134206 Issued in CA
Practice address
3101 Ocean Park Blvd Ste 100
Santa Monica, CA 90405-3029
Phone
(323) 383-7765
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 134206 CA Primary

Addresses

Primary practice location

3101 Ocean Park Blvd Ste 100
Santa Monica, CA 90405-3029

Mailing address

3101 Ocean Park Blvd Ste 100
Santa Monica, CA 90405-3029
Phone (323) 383-7765

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

LicenseStateTypeSpecialty
134206CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Thread Therapy & Counseling, Licensed Clinical Social Worker, PC Clinical Current Accepting new patients
Kari Barker, LMFT, Licensed Marriage and Family Therapist, Inc. PastSince Aug 2, 2020 Accepting new patients

Locations

3101 Ocean Park Blvd
Ste 100
Santa Monica, CA 90405
Phone (310) 804-1743

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1801405972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PARK BLVD STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053029",
            "telephone_number": "323-383-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PARK BLVD STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053029",
            "telephone_number": "323-383-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTA-GOMEZ",
        "first_name": "MAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "134206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.