Individual provider Active NPI

Mayra Penaloza, LCSW

  • Clinical Social Worker
  • Encinitas, CA
National Provider Identifier
1871318204
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
135946 Issued in CA
Practice address
351 Santa Fe Dr Ste 200
Encinitas, CA 92024-5137
Phone
(858) 279-1223
NPI assigned
Nov 20, 2024
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 135946 CA Primary
Clinical Social Worker 1041C0700X 93459 CA

Addresses

Primary practice location

351 Santa Fe Dr Ste 200
Encinitas, CA 92024-5137

Mailing address

351 Santa Fe Dr Ste 200
Encinitas, CA 92024-5137
Phone (858) 279-1223

Other practice location 1

12110 Slauson Ave Ste 16
Santa Fe Springs, CA 90670-8656
Phone (323) 524-9347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H Street ClinicGroup PAC ID 3870693781, shared by 5 NPIs, 9 clinicians

Practice addresses (Care Compare)

3750 Arlington Ave
Riverside, CA 92506-2607
Phone (951) 774-3050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93459CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindhealth Wellness Inc. CurrentSince Jan 20, 2026 Accepting new patients
H Street Clinic CurrentSince Nov 15, 2025 Accepting new patients
H Street Clinic CurrentSince Nov 15, 2025 Accepting new patients

Locations

3750 Arlington Ave
Riverside, CA 92506
Phone (951) 684-2350

1329 N H St
San Bernardino, CA 92405
Phone (909) 381-0803

10350 Heritage Park Dr
Ste 200
Santa Fe Springs, CA 90670
Phone (213) 536-5815

12110 Slauson Ave
Ste 16
Santa Fe Springs, CA 90670
Phone (323) 524-9347

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1871318204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SANTA FE DR STE 200",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245137",
            "telephone_number": "858-279-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SANTA FE DR STE 200",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245137",
            "telephone_number": "858-279-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12110 Slauson Ave Ste 16",
            "address_purpose": "LOCATION",
            "city": "Santa Fe Springs",
            "state": "CA",
            "postal_code": "906708656",
            "country_code": "US",
            "telephone_number": "323-524-9347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENALOZA",
        "first_name": "MAYRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "135946",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.