Active NPI
Martin Ayala, LCSW
- Clinical Social Worker
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28221
- Practice address
- 4701 E Cesar E Chavez Ave FL 2
Los Angeles, CA 90022-1209 - Phone
- (323) 267-3400
- Fax
- (323) 978-2371
- NPI assigned
- Apr 18, 2007
- Last updated
- Jun 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28221 | CA | Primary |
Addresses
Primary practice location
4701 E Cesar E Chavez Ave FL 2
Los Angeles, CA 90022-1209
Mailing address
2512 Giovanne Way
West Covina, CA 91792-5701
Phone (626) 222-0911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00007302 | Medicaid | CA | |
| CBSC709 | Other | CA | LA DMH PROVIDER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28221 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients |
Locations
17707 Studebaker Rd
#150
Cerritos, CA 90703
Phone (310) 402-0688
510 S Vermont Ave
Fl 17
Los Angeles, CA 90020
Phone (213) 332-1097
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
550 S Vermont Ave
Fl 6
Los Angeles, CA 90020
Phone (213) 351-7284
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba GENESIS Countywide Older Adult Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
dba DMH DHS Collaboration Lomita
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Harbor City, CA
- NPI 1366853491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1881811420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 GIOVANNE WAY",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917925701",
"telephone_number": "626-222-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 E CESAR E CHAVEZ AVE FL 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221209",
"telephone_number": "323-267-3400",
"fax_number": "323-978-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA",
"first_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "28221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00007302",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA DMH PROVIDER",
"identifier": "CBSC709",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1011 Baldwin Park Blvd",
"city": "Baldwin Park",
"state": "CA",
"country_code": "US",
"postal_code": "917065806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.