Individual provider Active NPI

Desiree Ashley Ayala, LMFT

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1922751908
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
153110 Issued in CA
Practice address
8300 Utica Ave Ste 245
Rancho Cucamonga, CA 91730-3852
Phone
(909) 989-4055
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 123056 CA
Marriage & Family Therapist 106H00000X 153110 CA Primary

Addresses

Primary practice location

8300 Utica Ave Ste 245
Rancho Cucamonga, CA 91730-3852

Mailing address

8300 Utica Ave Ste 245
Rancho Cucamonga, CA 91730-3852
Phone (909) 989-4055

Other practice location 1

1908 Business Center Dr
San Bernardino, CA 92408-3436
Phone (909) 890-5930

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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123056CAMDClinical Social Worker
153110CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of California, P.C. CurrentSince Jul 28, 2025 Accepting new patients
Victor Community Support Services, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince Jul 28, 2025 Accepting new patients

Locations

8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055

1908 Business Center Dr
San Bernardino, CA 92408
Phone (909) 890-5930

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1922751908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 UTICA AVE STE 245",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303852",
            "telephone_number": "909-989-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 UTICA AVE STE 245",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303852",
            "telephone_number": "909-989-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1908 Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083436",
            "country_code": "US",
            "telephone_number": "909-890-5930",
            "fax_number": "909-890-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "DESIREE",
        "middle_name": "ASHLEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123056",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.