MAYRA MELGOZA
NPI 1003586835
Social Worker - Clinical in Los Angeles, CA

Active since September 14, 2021PECOS EnrolledAccepts Medicare Assignment
840 N AVENUE 66, LOS ANGELES, CA 90042(626) 395-7100 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2026, Jan 15, 2026, Feb 22, 2022 and 1 more (4 updates tracked since 2021).

About Mayra Melgoza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRA MELGOZA (NPI 1003586835) is an individual clinical provider in Los Angeles, California, licensed in California (125354) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003586835
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAYRA MELGOZA
Location Address840 N AVENUE 66Los Angeles, CA 90042-1508
Mailing Address24115 Amberley DrMoreno Valley, CA 92553-3382
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 14, 2021
Last NPPES UpdateApril 2, 20264 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1003586835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 125354
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

840 N AVENUE 66, Los Angeles, CA 90042

Secondary Practice Locations 2

Location 1835 Highland Springs Ave Ste 210Beaumont, CA 92223-5771 · Phone (626) 395-7100
Location 24187 Flat Rock Dr Ste 350Riverside, CA 92505-7124 · Phone (951) 476-5642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mayra Melgoza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42722357
PECOS Enrollment IDI20250623003691
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042
Rehabilitation Practitioner
840 N AVENUE 66
LOS ANGELES, CA 90042
Marriage & Family Therapist
840 N AVENUE 66
LOS ANGELES, CA 90042
Peer Specialist
840 N AVENUE 66
LOS ANGELES, CA 90042
Social Worker
840 N AVENUE 66
LOS ANGELES, CA 90042
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042
Marriage & Family Therapist
840 N AVENUE 66
LOS ANGELES, CA 90042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mayra Melgoza's NPI number?

The NPI number for Mayra Melgoza is 1003586835. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Mayra Melgoza located?

Mayra Melgoza practices at 840 N Avenue 66, Los Angeles, CA 90042. The listed phone number is (626) 395-7100.

What is Mayra Melgoza's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mayra Melgoza enrolled in Medicare?

Yes. Mayra Melgoza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mayra Melgoza was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.